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Organization
RALPH LAUREN CENTER FOR CANCER CARE AND PREVENTION
Active
Organization
RALPH LAUREN CENTER FOR CANCER CARE AND PREVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILLIE BENITEZ (REVENUE CYCLE MANAGER)
(212) 987-1777
Entity
Organization
Contact information
Practice address
1919 MADISON AVE, NEW YORK, NY 10035-2745
(212) 987-1777
(212) 987-1776
Mailing address
1919 MADISON AVE, NEW YORK, NY 10035-2745
(212) 987-1777
(212) 987-1776
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
7002172R
NY
261QM1300X
Multi-Specialty Clinic/Center
Primary
7002172R
NY
Other
Enumeration date
12/28/2005
Last updated
11/17/2017
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