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Organization
ST. VINCENT'S 52ND ST. MEDICAL PRACTICE, PC
Active
Organization
ST. VINCENT'S 52ND ST. MEDICAL PRACTICE, PC
Active
Other names
The Miller Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD I LEICHMAN MD (MEDICAL DIRECTOR)
(696) 778-5545
Entity
Organization
Contact information
Practice address
355 W 52ND ST, 7TH FL, NEW YORK, NY 10019-6239
(646) 778-5546
Mailing address
355 W 52ND ST, 7TH FL, NEW YORK, NY 10019-6239
(646) 778-5546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
12/09/2008
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