# FOX MADISON REALTY LLC

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

## Provider details

- **NPI number:** 1598575219
- **Authorized official:** CRYSTAL TOUSSAINT (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (212) 362-3470

## Contact information

- **Practice address:** 1041 3RD AVE, 2ND FL, NEW YORK, NY 10065-8114
- **Practice address phone:** (212) 362-3470
- **Mailing address:** 1041 3RD AVE, 2ND FL, NEW YORK, NY 10065-8114
- **Mailing address phone:** (212) 362-3470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2025
- **Last updated:** 01/14/2025