# JEFFREY I. MECHANICK, MD

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

## Provider details

- **NPI number:** 1457368052
- **Authorized official:** DR. JEFFREY I MECHANICK M.D. (PHYSICIAN)
- **Authorized official phone:** (212) 831-2100

## Contact information

- **Practice address:** 1192 PARK AVE, NEW YORK, NY 10128-1314
- **Practice address phone:** (212) 831-2100
- **Practice address fax:** (212) 831-2137
- **Mailing address:** 1192 PARK AVE, NEW YORK, NY 10128-1314
- **Mailing address phone:** (212) 831-2100
- **Mailing address fax:** (212) 831-2137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 167522 | NY | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 08/22/2020