Organization · Type 2 NPI
436 GWB Medical Office PC
General Practice Physician · New York, NY
NPI number
1366952913
Active
Practice location
436 Fort Washington Ave Apt 1A
New York, NY 10033-3533
Fax (212) 923-7051
Mailing address
435 Fort Washington Ave Apt 2B
New York, NY 10033-3527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1366952913
436 GWB Medical Office PC's National Provider Identifier is 1366952913, issued on Oct 10, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in New York, NY. The record was last updated on Oct 10, 2017.