Fifth Avenue Center

NPI 1760406912 - Clinic/Center - 261Q00000X

NPI Details
NPI 1760406912
Enumeration Date 07/27/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JERRY JERRY
Position CLINIC DIRECTOR
Phone (212) 989-2990
Fax
Practice Location
10 E 21ST ST
FLOOR 7
NEW YORK NY, 10010-7108, US
Phone (212) 989-2990
Fax
Business Location
332 E 84TH ST
APT. 5D
NEW YORK NY, 10028-4443, US
Phone (917) 750-3594
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State New York
License Number 002497
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According to our database, Fifth Avenue Center NPI is 1760406912, taxonomy code is 261Q00000X and license number is 002497, license state is located at New York. Fifth Avenue Center physically located at 10 E 21st St, New York NY, 10010-7108. NPI Number 1033115704 has the healthcare provider type.

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1760406912 NPI number is provided on an as is basis without warranty of any kind. 1760406912 is maintained by the National Plan & Provider Enumeration System. The contents of Fifth Avenue Center are for informational purposes only.