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Organization
PREVENTATIVE HEALTHCARE MEDICAL SERVICES OF NEW YORK, PC
Active
Organization
PREVENTATIVE HEALTHCARE MEDICAL SERVICES OF NEW YORK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN CHASE WILSON MD (OWNER)
(917) 994-1770
Entity
Organization
Contact information
Practice address
122 E 42ND ST FL 18, NEW YORK, NY 10168-1899
(917) 994-1770
Mailing address
122 E 42ND ST FL 18, NEW YORK, NY 10168-1899
(917) 994-1770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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