Organization · Type 2 NPI

Ceregenesis Medical Corporation

Specialist · New York, NY

NPI number 1104723550 Active

Practice location

272 W 107th St Apt 14C
New York, NY 10025-7834

Call (312) 912-2408 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1104723550

Ceregenesis Medical Corporation's National Provider Identifier is 1104723550, issued on Oct 20, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Oct 20, 2026.