Medical Associate of Wall Street, PC
Medical Associate of Wall Street, PC provides Internal Medicine Physician services in New York, New York. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 3
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6 Maiden Ln Rm 500New York, NY 10038-5140
Phone: (212) 233-3040
Fax: (212) 349-7529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X |
Record details
| NPI number | 1912272592 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Glenn Gandelman — Chief Executive Officer · (212) 233-3040 |
| NPI enumerated | March 15, 2012 |
| Last updated in NPPES | September 20, 2022 |
| Certification date | September 20, 2022 |
| Mailing address | 81 Holly Hill Ln Fl 3, Greenwich, CT 06830-6071 |
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