# ALYSON R PIDICH MD PC

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

## Provider details

- **NPI number:** 1336770973
- **Authorized official:** DR. ALYSON R PIDICH MD (OWNER)
- **Authorized official phone:** (212) 758-3200

## Contact information

- **Practice address:** 800A 5TH AVE STE 205, NEW YORK, NY 10065-7215
- **Practice address phone:** (212) 758-3200
- **Mailing address:** 800A 5TH AVE STE 205, NEW YORK, NY 10065-7215
- **Mailing address phone:** (212) 758-3200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2020
- **Last updated:** 02/02/2020