# COGNITIVE MEDICAL WELLNESS OF NEW YORK PC

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

## Provider details

- **NPI number:** 1558278671
- **Authorized official:** EDWARD FRUITMAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (917) 796-3348

## Contact information

- **Practice address:** 30 E 60TH ST RM 2403, NEW YORK, NY 10022-1788
- **Practice address phone:** (212) 233-2838
- **Mailing address:** 30 E 60TH ST RM 2403, NEW YORK, NY 10022-1788
- **Mailing address phone:** (516) 295-4867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2026
- **Last updated:** 08/25/2026