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Organization
INWOOD DIAGNOSTIC AND TREATMENT CENTER,INC
Active
Organization
INWOOD DIAGNOSTIC AND TREATMENT CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRES MIGUEL PEREIRA M.D. (MEDICAL DIRECTOR)
(212) 567-6200
Entity
Organization
Contact information
Practice address
47 SICKLES ST OFC 1A, NEW YORK, NY 10040-1604
(212) 567-6200
(212) 567-9397
Mailing address
47 SICKLES ST SUITE 1A, NEW YORK, NY 10040-1604
(212) 567-6200
(212) 567-9397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
173568
NY
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
Other
Enumeration date
05/19/2015
Last updated
09/21/2015
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