Organization
PROMENADE MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN NOOR (MANAGER)
(917) 674-1491
Entity
Organization
Contact information
Practice address
205 W 54TH ST APT 11A, NEW YORK, NY 10019-5535
(917) 574-5334
Mailing address
205 W 54TH ST APT 11A, NEW YORK, NY 10019-5535
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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