Ocean Medical Plus Pc

NPI 1285993956 - Family Medicine - 207QA0000X

NPI Details
NPI 1285993956
Enumeration Date 05/15/2012
Last Updated 10/23/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name VADIM VADIM
Position OWNER
Phone (212) 722-7800
Fax
Practice Location
315 E 105TH ST
SUITE 104
NEW YORK NY, 10029-5000, US
Phone (212) 722-7800
Fax
Business Location
315 E 105TH ST
SUITE 104
NEW YORK NY, 10029-5000, US
Phone (212) 722-7800
Fax
Toxanomy
Taxonomy Code 207QA0000X
License State New York
License Number 208907
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According to our database, Ocean Medical Plus Pc NPI is 1285993956, taxonomy code is 207QA0000X and license number is 208907, license state is located at New York. Ocean Medical Plus Pc physically located at 315 E 105th St, New York NY, 10029-5000. NPI Number 1033115704 has the healthcare provider type.

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1285993956 NPI number is provided on an as is basis without warranty of any kind. 1285993956 is maintained by the National Plan & Provider Enumeration System. The contents of Ocean Medical Plus Pc are for informational purposes only.