# GREATER METROPOLITIAN IPA 2 OF BIMC

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

## Provider details

- **NPI number:** 1053596130
- **Authorized official:** CHANTEL MULLIGAN (ASSISTANT MANAGER)
- **Authorized official phone:** (212) 256-3377

## Contact information

- **Practice address:** 365 W 28TH ST, NEW YORK, NY 10001-7901
- **Practice address phone:** (212) 645-1087
- **Mailing address:** 160 WATER ST, 20TH FLOOR, NEW YORK, NY 10038-4922
- **Mailing address phone:** (212) 256-3377
- **Mailing address fax:** (212) 256-3559

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 01/08/2008