Nyc Internal Medicine Doctor, P.c. | |
170 E 78th St New York NY 10075-0408 | |
(516) 313-8642 | |
Not Available |
Full Name | Nyc Internal Medicine Doctor, P.c. |
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Speciality | Internal Medicine - Gastroenterology |
Location | 170 E 78th St, New York, New York |
Authorized Official Name and Position | Shawn Khodadadian (OWNER) |
Authorized Official Contact | 5163138642 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nyc Internal Medicine Doctor, P.c. 170 E 83rd St Apt 2k New York NY 10028-1920 Ph: (516) 313-8642 | Nyc Internal Medicine Doctor, P.c. 170 E 78th St New York NY 10075-0408 Ph: (516) 313-8642 |
NPI Number | 1265838254 |
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Provider Enumeration Date | 11/18/2014 |
Last Update Date | 11/18/2014 |
Identifier | Type | State | Issuer |
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1265838254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 244392 (New York) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 244392 (New York) | Primary |
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