Ken Moadel M.d,p.c.

NPI 1023189263 - Clinic/Center - 261QS0132X

NPI Details
NPI 1023189263
Enumeration Date 11/10/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEN KEN
Position DOCTOR
Phone (212) 490-3937
Fax (212) 490-0092
Practice Location
317 MADISON AVE
NEW YORK NY, 10017-5201, US
Phone (212) 490-3937
Fax (212) 490-0092
Business Location
317 MADISON AVE
NEW YORK NY, 10017-5201, US
Phone (212) 490-3937
Fax (212) 490-0092
Toxanomy
Taxonomy Code 261QS0132X
License State New York
License Number 182752
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According to our database, Ken Moadel M.d,p.c. NPI is 1023189263, taxonomy code is 261QS0132X and license number is 182752, license state is located at New York. Ken Moadel M.d,p.c. physically located at 317 Madison Ave, New York NY, 10017-5201. NPI Number 1033115704 has the healthcare provider type.

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1023189263 NPI number is provided on an as is basis without warranty of any kind. 1023189263 is maintained by the National Plan & Provider Enumeration System. The contents of Ken Moadel M.d,p.c. are for informational purposes only.