Organization
MANHATTAN MEDICAL OFFICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL A. TEJEDA M.D (PHYSICIAN)
(212) 543-2500
Entity
Organization
Contact information
Practice address
4915 BROADWAY, SUITE 1K, NEW YORK, NY 10034-3119
(212) 543-2500
(212) 543-2503
Mailing address
70 LOCUST AVE APT B103, NEW ROCHELLE, NY 10801-7375
(212) 543-2500
(212) 543-2503
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
115475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03304267
—
NY
Enumeration date
02/11/2009
Last updated
03/07/2011
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