# MANHATTAN'S PHYSICIAN GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033154646
- **Authorized official:** TIMOTHY LEDDY (COO)
- **Authorized official phone:** (212) 496-4607

## Contact information

- **Practice address:** 172 AMSTERDAM AVE, NEW YORK, NY 10023-5034
- **Practice address phone:** (212) 496-4600
- **Mailing address:** 172 AMSTERDAM AVE, NEW YORK, NY 10023-5034
- **Mailing address phone:** (212) 496-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 08/22/2020
