139 Medical PC
139 Medical PC is a Pediatrics Physician in New York, New York. Licensed in New York. Registered with an NPI since 2011.
- Licensed in
- NY
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
139 Centre St Ste 618New York, NY 10013-4552
Phone: (212) 925-4993
Fax: (212) 925-4665
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 214391 (NY) |
|---|
Record details
| NPI number | 1790076370 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ka Li — Medical Provider · (212) 925-4993 |
| NPI enumerated | April 29, 2011 |
| Last updated in NPPES | December 2, 2011 |
| Mailing address | 139 Centre St, Suite 618, New York, NY 10013-4552 |
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