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Organization
MADISON SQUARE COMPREHENSIVE MEDICAL CARE, PLLC
Active
Organization
MADISON SQUARE COMPREHENSIVE MEDICAL CARE, PLLC
Active
Other names
Advanced Pathology Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN KHODADADIAN MD (DIRECTOR)
(212) 533-2400
Entity
Organization
Contact information
Practice address
121 W 27TH ST STE 504, NEW YORK, NY 10001-6207
(212) 533-2400
(212) 533-6607
Mailing address
121 W 27TH ST STE 504, NEW YORK, NY 10001-6207
(212) 533-2400
(212) 533-6607
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
08/14/2026
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