# 65 STREET MEDICAL P C

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

## Provider details

- **NPI number:** 1326469222
- **Authorized official:** DR. LUIS NAVARRO M.D (PHYSICIAN)
- **Authorized official phone:** (212) 249-6117

## Contact information

- **Practice address:** 327 E 65TH ST, NEW YORK, NY 10065-6880
- **Practice address phone:** (212) 249-6117
- **Practice address fax:** (212) 517-5630
- **Mailing address:** 327 E 65TH ST, NEW YORK, NY 10065-6880
- **Mailing address phone:** (212) 249-6117
- **Mailing address fax:** (212) 517-5630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 119600 | NY | Yes |

## Other

- **Enumeration date:** 12/18/2013
- **Last updated:** 12/18/2013