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Organization
NYC MADISON AVENUE MEDICAL PC
Active
Organization
NYC MADISON AVENUE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD MIRZA MD (MEDICAL DIRECTOR)
(914) 376-6100
Entity
Organization
Contact information
Practice address
290 MADISON AVE FL 6, NEW YORK, NY 10017-6306
(914) 376-6100
(914) 470-5056
Mailing address
290 MADISON AVE FL 6, NEW YORK, NY 10017-6306
(914) 376-6100
(914) 470-5056
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207K00000X
Allergy & Immunology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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