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Specialty details in registry · New York, NY

Call (617) 981-0920 Directions

At a glance

85 Broad St Fl 18, New York, NY 10004-2783

NPPES record updated Aug 11, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

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

Practice location

85 Broad St Fl 18
New York, NY 10004-2783
Professional details: NPI, taxonomy & registry record
NPI1790396182
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM1300X
Enumeration date
Aug 11, 2020
Record updated
Aug 11, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM1300X · Primary

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

Practice location

85 Broad St Fl 18
New York, NY 10004-2783
Phone
(617) 981-0920
Mailing address
85 BROAD ST FL 18

NEW YORK, NY 100042783
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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