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Organization
MID-MANHATTAN MEDICAL, P.C.
Active
Organization
MID-MANHATTAN MEDICAL, P.C.
Active
Other names
Park Avenue Trauma Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIDEON JACOB HEDRYCH M.D. (PRESIDENT)
(212) 472-1717
Entity
Organization
Contact information
Practice address
240 E 69TH ST, NEW YORK, NY 10021-5705
(212) 472-1717
(212) 472-6103
Mailing address
240 E 69TH ST, NEW YORK, NY 10021-5705
(212) 472-1717
(212) 472-6103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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