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Organization
NORTH GENERAL PHYSICIAN SERVICES PLLC
Active
Organization
NORTH GENERAL PHYSICIAN SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRIA FRANKS (EXECUTIVE DIRECTOR)
(212) 423-4117
Entity
Organization
Contact information
Practice address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4500
Mailing address
1879 MADISON AVE, NEW YORK, NY 10035-2709
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
122300000X
Dentist
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02640866
—
NY
Enumeration date
07/27/2006
Last updated
07/17/2008
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