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Organization
NEW YORK FOUNDLING
Active
Organization
NEW YORK FOUNDLING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MOJICA (BILLING CREDENTIALING MANAGER)
(917) 485-7291
Entity
Organization
Contact information
Practice address
590 AVENUE OF AMERICAS, 14TH FLOOR, NEW YORK, NY 10011
(212) 206-4161
Mailing address
590 6TH AVE # 10TH, NEW YORK, NY 10011-2022
(917) 485-7291
(917) 485-7590
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
NULL
Other
Enumeration date
10/30/2019
Last updated
01/11/2021
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