Organization · Type 2 NPI
Photon Medical Group
Specialist · New York, NY
NPI number
1972059749
Active
Practice location
808 Columbus Avenue, 21C
New York, NY 10025-5169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 249723 (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 1972059749
Photon Medical Group's National Provider Identifier is 1972059749, issued on Aug 31, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Aug 31, 2016.