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Organization
COGNITIVE MEDICAL WELLNESS OF NEW YORK PC
Active
Organization
COGNITIVE MEDICAL WELLNESS OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD FRUITMAN MD (MEDICAL DIRECTOR)
(917) 796-3348
Entity
Organization
Contact information
Practice address
30 E 60TH ST RM 2403, NEW YORK, NY 10022-1788
(212) 233-2838
Mailing address
30 E 60TH ST RM 2403, NEW YORK, NY 10022-1788
(516) 295-4867
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/25/2026
Last updated
08/25/2026
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