Organization
MASSIMO DEGIARDE, M.D.,P.C.
Active
Other names
Lafayette Medical Approach
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HUDSON J.D. (ADMINISTRATOR)
(212) 966-7193
Entity
Organization
Contact information
Practice address
233 LAFAYETTE ST, NEW YORK, NY 10012-4051
(212) 431-6177
(212) 966-7160
Mailing address
233 LAFAYETTE ST, NEW YORK, NY 10012-4051
(212) 431-6177
(212) 966-7160
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
070710386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00166849
—
NY
Enumeration date
11/28/2006
Last updated
12/19/2013
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