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Organization
MID MANHATTAN MEDICAL, P.C.
Active
Organization
MID MANHATTAN MEDICAL, P.C.
Active
Other names
Park Avenue Trauma Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIDEON HEDRYCH M.D. (MEDICAL DIRECTOR)
(718) 625-9911
Entity
Organization
Contact information
Practice address
100 LIVINGSTON ST, SUITE 2, BROOKLYN, NY 11201-5127
(718) 625-9911
(718) 625-9517
Mailing address
100 LIVINGSTON ST, SUITE 2, BROOKLYN, NY 11201-5127
(718) 625-9911
(718) 625-9517
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
—
NULL
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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