Organization · Type 2 NPI
Madison Physician Practice PC
Adult Medicine Physician · New York, NY
NPI number
1194206441
Active
Practice location
983 Park Ave # 1D
New York, NY 10028-0808
Fax (212) 427-8762
Mailing address
983 Park Ave Ste 1D
New York, NY 10028-0808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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About NPI 1194206441
Madison Physician Practice PC's National Provider Identifier is 1194206441, issued on Aug 24, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in New York, NY. The record was last updated on Aug 24, 2018.