# INWOOD DIAGNOSTIC AND TREATMENT CENTER,INC

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

## Provider details

- **NPI number:** 1295114536
- **Authorized official:** DR. ANDRES MIGUEL PEREIRA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 567-6200

## Contact information

- **Practice address:** 47 SICKLES ST OFC 1A, NEW YORK, NY 10040-1604
- **Practice address phone:** (212) 567-6200
- **Practice address fax:** (212) 567-9397
- **Mailing address:** 47 SICKLES ST SUITE 1A, NEW YORK, NY 10040-1604
- **Mailing address phone:** (212) 567-6200
- **Mailing address fax:** (212) 567-9397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 173568 | NY | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 09/21/2015