# EAST MANHATTAN MEDICAL PC

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

## Provider details

- **NPI number:** 1144315169
- **Authorized official:** JEROME V TOLBERT MD (PRESIDENT)
- **Authorized official phone:** (212) 677-1041

## Contact information

- **Practice address:** 222 EAST 19TH STREET, SUITE \#4E, NEW YORK, NY 10003
- **Practice address phone:** (212) 677-1041
- **Practice address fax:** (212) 725-6070
- **Mailing address:** 222 EAST 19TH STREET, SUITE \#4E, NEW YORK, NY 10003
- **Mailing address phone:** (212) 677-1041
- **Mailing address fax:** (212) 725-6070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 127 560 | NY | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00580350 | — | NY |