# EXECUTIVE HEALTH MEDICAL GROUP OF NEW YORK, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Executive Health Exams
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578779302
- **Authorized official:** MS. ROXANA GUZMAN (DIRECTOR OF ACCOUNTING)
- **Authorized official phone:** (212) 332-3725

## Contact information

- **Practice address:** 10 ROCKEFELLER PLZ, 4TH FLOOR, NEW YORK, NY 10020-1903
- **Practice address phone:** (212) 332-3700
- **Mailing address:** 10 ROCKEFELLER PLZ, 4TH FLOOR, NEW YORK, NY 10020-1903
- **Mailing address phone:** (212) 332-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 03/27/2012