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Organization
KOR EAST 72ND STREET MEDICAL
Active
Organization
KOR EAST 72ND STREET MEDICAL
Active
Other names
Manhattan Aesthetic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KENNETH OWNE ROTHAUS MD (CHIEF MEDICAL OFFICE)
(212) 737-0770
Entity
Organization
Contact information
Practice address
325 EAST 72ND STREET, NEW YORK, NY 10021
(212) 772-7229
(212) 737-0103
Mailing address
325 EAST 72ND STREET, NEW YORK, NY 10021
(212) 772-7229
(212) 737-0103
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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