Organization · Type 2 NPI

Ig Medical PC

Specialist · New York, NY

NPI number 1104124924 Active

Practice location

570 W 204th St Apt 1J
New York, NY 10034-4011

Call (212) 569-8070 Map

Fax (212) 569-8071

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2363851 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104124924

Ig Medical PC's National Provider Identifier is 1104124924, issued on Mar 2, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Mar 2, 2011.