Organization
PHYSIO LOGIC MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHANN C KUO M.D. (PRESIDENT)
(718) 260-1000
Entity
Organization
Contact information
Practice address
409 FULTON STREET, 2ND FLOOR, BROOKLYN, NY 11201
(718) 260-1000
(718) 260-0072
Mailing address
281 BROADWAY, 2ND FLOOR, NEW YORK, NY 10007-1831
(718) 260-1000
(718) 260-0072
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
241732
NY
Other
Enumeration date
10/28/2011
Last updated
04/08/2015
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