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Organization

METROPOLITAN

Active
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Organization

METROPOLITAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDRE BROUSSARD (PROGRAM DIRECTOR)
(212) 423-7834
Entity
Organization

Contact information

Practice address
1901 1ST AVE, PEDIATRICS ROOM 523, NEW YORK, NY 10029-7404
(212) 423-7834
Mailing address
1810 3RD AVENUE, APT B2C, NEW YORK, NY 10029-6291
(646) 633-8925

Taxonomy

Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary

Other

Enumeration date
08/21/2013
Last updated
08/21/2013
About Stedi
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  • Eligibility checks
  • EDI platform