# 424 MADISON AVENUE INC

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

## Provider details

- **NPI number:** 1629570577
- **Authorized official:** MR. FRANK DICICCO DMD (OWNER)
- **Authorized official phone:** (212) 753-7400

## Contact information

- **Practice address:** 424 MADISON AVE FL 15, NEW YORK, NY 10017-1158
- **Practice address phone:** (212) 753-7400
- **Mailing address:** 424 MADISON AVE FL 15, NEW YORK, NY 10017-1158
- **Mailing address phone:** (212) 753-7400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NY | Yes |

## Other

- **Enumeration date:** 03/07/2018
- **Last updated:** 03/07/2018