Home Pt Of Nyc, Pllc

NPI 1497063382 - Clinic/Center - 261QP2000X

NPI Details
NPI 1497063382
Enumeration Date 09/14/2010
Last Updated 01/13/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JOB JOB
Position OWNER/CEO
Phone (646) 853-5315
Fax (866) 863-8148
Practice Location
1375 BROADWAY
FL 3
NEW YORK NY, 10018-7001, US
Phone (646) 853-5315
Fax (866) 863-8148
Business Location
1375 BROADWAY
FL 3
NEW YORK NY, 10018-7001, US
Phone (646) 853-5315
Fax (866) 863-8148
Toxanomy
Taxonomy Code 261QP2000X
License State New York
License Number 012422-1
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According to our database, Home Pt Of Nyc, Pllc NPI is 1497063382, taxonomy code is 261QP2000X and license number is 012422-1, license state is located at New York. Home Pt Of Nyc, Pllc physically located at 1375 Broadway, New York NY, 10018-7001. NPI Number 1033115704 has the healthcare provider type.

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1497063382 NPI number is provided on an as is basis without warranty of any kind. 1497063382 is maintained by the National Plan & Provider Enumeration System. The contents of Home Pt Of Nyc, Pllc are for informational purposes only.