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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Point of Service · NEW YORK, NY

Registration Details

NPI Number
1770792160
Provider Type
Organization
NPI Issued
May 22, 2007 (18.917036164468 yrs)
Last Updated
Aug 22, 2020
License
165969 (NY)

Practice Information

Address
80 E 11TH ST
STE 211
NEW YORK, NY, 100036811
Browse NY providers · Browse ZIP 10003
Phone
2126771777
Fax
2124208415
Primary Specialty
Point of Service
305S00000X

Other Point of Service Organizations in NEW YORK, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.