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Organization
SLRHC FACULTY PRACTICE
Active
Organization
SLRHC FACULTY PRACTICE
Active
Other names
UNIVERISTY MEDICAL PRACTICE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRUNO (EXECUTIVE VP FINANCE)
(212) 492-5590
Entity
Organization
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(646) 717-8666
Mailing address
1790 BROADWAY, 3RD FLOOR, NEW YORK, NY 10019-1412
(212) 315-0144
(212) 315-0188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03191146
—
NY
Enumeration date
08/26/2009
Last updated
10/20/2011
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