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Organization
PRIVATE MEDICAL NEW YORK, PC
Active
Organization
PRIVATE MEDICAL NEW YORK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LEWIS SHLAIN MD (CEO)
(212) 473-7888
Entity
Organization
Contact information
Practice address
110 E 60TH ST # 808, NEW YORK, NY 10022-1688
(917) 781-1919
(917) 722-1091
Mailing address
110 E 60TH ST # 808, NEW YORK, NY 10022-1688
(212) 473-7888
(212) 931-1888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
09/04/2019
Last updated
08/11/2022
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