Organization
CMI MEDICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER MACDONALD INGRAM M.D. (PRINCIPAL)
(917) 903-3516
Entity
Organization
Contact information
Practice address
306 W 137TH ST, NEW YORK, NY 10030-2409
(917) 903-3516
Mailing address
306 W 137TH ST, NEW YORK, NY 10030-2409
(917) 903-3516
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
M234567
NY
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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