Organization
MEMORIAL CLINICAL PHYSIOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVATORE M ANDREOZZI (ASSOCIATE DIRECTOR)
(646) 227-3751
Entity
Organization
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10021-6007
(646) 227-3813
Mailing address
633 3RD AVE, BOX 3, NEW YORK, NY 10017-6706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Enumeration date
01/31/2006
Last updated
02/20/2008
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