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Organization
MADISON SQUARE MEDICAL
Active
Organization
MADISON SQUARE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN KHODADADIAN M.D. (PARTNER)
(212) 533-2400
Entity
Organization
Contact information
Practice address
51 E 25TH ST, 4TH FLOOR, SUITE 4B, NEW YORK, NY 10010-2945
(212) 533-2400
Mailing address
51 E 25TH ST, 4TH FLOOR, SUITE 4B, NEW YORK, NY 10010-2945
(212) 533-2400
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
236127-1
NY
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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