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Organization
JACOB LICHY M.D.&THOMAS KOLB M.D.P.C.
Active
Organization
JACOB LICHY M.D.&THOMAS KOLB M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGLA LICHY (OFFICE MANAGER)
(212) 879-4488
Entity
Organization
Contact information
Practice address
222 E 68TH ST, NEW YORK, NY 10065-6001
(212) 879-4488
(212) 737-5917
Mailing address
222 E 68TH ST, NEW YORK, NY 10065-6001
(212) 879-4488
(212) 737-5917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
122218-1
NY
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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