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Organization
JACOB LICHY MD AND THOMAS KOLB MD PC
Active
Organization
JACOB LICHY MD AND THOMAS KOLB MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB LICHY MD (PROVIDER)
(212) 879-4488
Entity
Organization
Contact information
Practice address
52 E 78TH ST, NEW YORK, NY 10075-1810
(212) 879-4488
Mailing address
222 E 68TH ST, NEW YORK, NY 10065-6001
(212) 879-4488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
122218
NY
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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