Organization · Type 2 NPI

The Light Medical, PC

Specialist · New York, NY

NPI number 1619265998 Active

Practice location

254 Canal St, Suite 5001
New York, NY 10013-3501

Fax (212) 287-0031

Mailing address

15 Leonello Lane
Staten Island, NY 10307-0000

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X221203 (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 1619265998

The Light Medical, PC's National Provider Identifier is 1619265998, issued on Jul 20, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Sep 21, 2011.