Organization
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL H. LEWENSOHN (MEDICAL CREDENTIALING)
(914) 403-8985
Entity
Organization
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-2467
Mailing address
506 LENOX AVE, NEW YORK, NY 10037-1802
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001002
NY
Other
Enumeration date
01/29/2016
Last updated
09/15/2020
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