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Organization
PARK LENOX MEDICAL, PC
Active
Organization
PARK LENOX MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIALISA MARTINEZ (MANAGER)
(212) 434-3675
Entity
Organization
Contact information
Practice address
100 EAST 77TH STREET, NEW YORK, NY 10075-1850
(212) 434-3589
(212) 434-2446
Mailing address
100 EAST 77TH STREET, NEW YORK, NY 10075-1850
(212) 434-3589
(212) 434-2446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01278853
—
NY
Enumeration date
11/28/2006
Last updated
05/03/2010
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