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Organization

HCA IN MEDICINE, PLLC

Active
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Organization

HCA IN MEDICINE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL I BERKLEY (CEO & ADMINISTRATOR)
(718) 448-3210
Entity
Organization

Contact information

Practice address
133 E 58TH ST, STE 504, NEW YORK, NY 10022-1236
(212) 886-1097
(718) 967-6023
Mailing address
2535 ARTHUR KILL RD, STATEN ISLAND, NY 10309-1207
(718) 448-3210
(718) 984-2642

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
207T00000X
Neurological Surgery Physician
Primary
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician

Other

Enumeration date
08/28/2013
Last updated
05/31/2016
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