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Organization
SLRHC FACULITY PRACTICE
Active
Organization
SLRHC FACULITY PRACTICE
Active
Other names
SLRHC FPP RICHARD WHELAN MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BRUNO (VP)
(914) 761-8287
Entity
Organization
Contact information
Practice address
425 W 59TH ST STE 7B, NEW YORK, NY 10019-8022
(212) 523-8172
(212) 523-8857
Mailing address
PO BOX 95000-3980, PHILADELPHIA, PA 19195-2230
(212) 523-8172
(212) 523-8857
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
162960-1
NY
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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