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Specialty details in registry · New York, NY

Call (212) 381-6135 Directions

At a glance

550 1St Ave, New York, NY 10016-6402

NPPES record updated Mar 3, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

550 1St Ave
New York, NY 10016-6402

Professional details: NPI, taxonomy & registry record

NPI1619511490

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 332BD1200X
Enumeration date: Nov 4, 2019
Record updated: Mar 3, 2020

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

332BD1200X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

550 1St Ave
New York, NY 10016-6402

Phone: (212) 381-6135

Mailing address

550 1ST AVE

NEW YORK, NY 100166402

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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