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Organization
PARK SQUARE MEDICAL PC
Active
Organization
PARK SQUARE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GHALCHI (PRESIDENT)
(212) 686-0066
Entity
Organization
Contact information
Practice address
51 E 25TH ST FL 4, NEW YORK, NY 10010-8210
(212) 686-0066
Mailing address
51 E 25TH ST FL 4, NEW YORK, NY 10010-8210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
236127
NY
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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