Photon Medical Group
Photon Medical Group provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2016.
- Licensed in
- NY
- In the registry since
- 2016
Practice location Address checks out
808 Columbus Avenue 21CNew York, NY 10025-5169 Not confirmed with CMS for 10 years — call before visiting
Phone: (646) 535-4180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 249723 (NY) |
|---|
Record details
| NPI number | 1972059749 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alexis Young — Medical Director · (646) 535-4180 |
| NPI enumerated | August 31, 2016 |
| Last updated in NPPES | August 31, 2016 |
| Mailing address | 808 Columbus Avenue, 21c, New York, NY 10025-5169 |
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