New Era Medicine Pllc

NPI 1487853503 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1487853503
Enumeration Date 07/18/2007
Last Updated 06/22/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RUTH ANNE RUTH
Position MEDICAL DIRECTOR
Phone (866) 715-1727
Fax (866) 715-1727
Practice Location
1428 VICTORY BLVD
STATEN ISLAND NY, 10301-3908, US
Phone (866) 715-1727
Fax (866) 715-1727
Business Location
26 SCRIBNER AVE
STATEN ISLAND NY, 10301-2316, US
Phone (866) 715-1727
Fax (866) 715-1727
Toxanomy
Taxonomy Code 208100000X
License State New York
License Number 197816
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According to our database, New Era Medicine Pllc NPI is 1487853503, taxonomy code is 208100000X and license number is 197816, license state is located at New York. New Era Medicine Pllc physically located at 1428 Victory Blvd, Staten Island NY, 10301-3908. NPI Number 1033115704 has the healthcare provider type.

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1487853503 NPI number is provided on an as is basis without warranty of any kind. 1487853503 is maintained by the National Plan & Provider Enumeration System. The contents of New Era Medicine Pllc are for informational purposes only.