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Organization
MIDTOWN PHYSICAL MEDICINE, PC
Active
Organization
MIDTOWN PHYSICAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL VENTRUDO MD (OWNER)
(718) 769-2521
Entity
Organization
Contact information
Practice address
3500 NOSTRAND AVE, BROOKLYN, NY 11229-5107
(718) 769-2521
Mailing address
300 JERICHO QUADRANGLE, SUITE 320, JERICHO, NY 11753-2704
(516) 874-8100
(516) 320-8937
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
242798
NY
Other
Enumeration date
10/04/2014
Last updated
10/04/2014
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