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Organization
NYC PRIMARY MEDICAL CARE PC
Active
Organization
NYC PRIMARY MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHYAR EIDGAH MD (OWNER)
(212) 979-4204
Entity
Organization
Contact information
Practice address
310 E 14TH ST, NEW YORK, NY 10003-4201
(212) 979-4204
(212) 979-4415
Mailing address
310 E 14TH ST, NEW YORK, NY 10003-4201
(212) 979-4204
(212) 979-4415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
232944
NY
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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