Organization
ALICE V. COGHILL, M.D.
Active
Other names
Midtown Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE V. COGHILL M.D. (OWNER)
(212) 244-4520
Entity
Organization
Contact information
Practice address
450 FASHION AVE, SUITE 309, NEW YORK, NY 10123-0101
(212) 244-4520
Mailing address
450 FASHION AVE, SUITE 309, NEW YORK, NY 10123-0101
(212) 244-4520
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
150251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00938945
—
NY
Enumeration date
04/06/2007
Last updated
08/22/2020
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