Organization
5TH AVENUE WELLNESS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NAYSHTUT DO (DO/OWNER)
(718) 989-9595
Entity
Organization
Contact information
Practice address
1049 5TH AVE STE 1A, NEW YORK, NY 10028-0115
(718) 989-9595
Mailing address
1049 5TH AVE STE 1A, NEW YORK, NY 10028-0115
(646) 229-4926
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/26/2022
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