Organization
SIA MEDICAL PC
Active
Organization
SIA MEDICAL PC
Active
Other names
Flyte Medical PC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BASS (COO)
(415) 710-7775
Entity
Organization
Contact information
Practice address
76 EAST 71ST STREET, #10B, NEW YORK, NY 10021
(646) 397-0208
Mailing address
176 E 71ST ST # 10B, NEW YORK, NY 10021-5159
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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