Organization
CLEARLY MADISON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA ABBA YOUNG M.D, (PRESIDENT)
(212) 448-0101
Entity
Organization
Contact information
Practice address
161 MADISON AVE, SUITE 5SE, NEW YORK, NY 10016-5421
(212) 448-0101
(212) 448-0116
Mailing address
161 MADISON AVE, SUITE 5SE, NEW YORK, NY 10016-5421
(212) 448-0101
(212) 448-0116
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
187808-1
NY
Other
Enumeration date
11/12/2011
Last updated
03/05/2012
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