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Organization
M MICHAEL MD PC
Active
Organization
M MICHAEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOUCHEHR MICHAEL MD (PRESIDENT)
(212) 567-6400
Entity
Organization
Contact information
Practice address
37 NAGLE AVE, SUITE 1D, NEW YORK, NY 10040-1422
(212) 567-6400
(212) 567-6424
Mailing address
37 NAGLE AVE, SUITE 1D, NEW YORK, NY 10040-1422
(212) 567-6400
(212) 567-6424
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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