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Organization
HARLEM MEDICAL GROUP, PC
Active
Organization
HARLEM MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEMANT PATEL M.D. (PRESIDENT)
(718) 364-3200
Entity
Organization
Contact information
Practice address
3455 BOSTON RD, BRONX, NY 10469-2508
(718) 798-2236
(718) 798-0561
Mailing address
2255-2257 ADAM CLAYTON POWELL BLVD, NEW YORK, NY 10027-7807
(718) 364-3200
(212) 410-4424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
257711
NY
207R00000X
Internal Medicine Physician
Primary
169377
NY
207VG0400X
Gynecology Physician
155078
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03464362
—
NY
01
—
A100069658
MEDICARE
NY
Enumeration date
05/15/2012
Last updated
08/16/2022
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