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Organization
ALYSON R PIDICH MD PC
Active
Organization
ALYSON R PIDICH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSON R PIDICH MD (OWNER)
(212) 758-3200
Entity
Organization
Contact information
Practice address
800A 5TH AVE STE 205, NEW YORK, NY 10065-7215
(212) 758-3200
Mailing address
800A 5TH AVE STE 205, NEW YORK, NY 10065-7215
(212) 758-3200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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