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Organization
FAMILY MEDICAL GROUP OF MANHATTAN PC
Active
Organization
FAMILY MEDICAL GROUP OF MANHATTAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY EDWIN LEEDS MD. (PRESIDENT)
(212) 366-9112
Entity
Organization
Contact information
Practice address
22 W 15TH ST, NEW YORK, NY 10011-6842
(212) 366-9112
(212) 206-7719
Mailing address
22 W 15TH ST, NEW YORK, NY 10011-6842
(212) 366-9112
(212) 206-7719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
04/23/2012
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