Organization
EAST HARLEM MEDICAL PC
Active
Organization
EAST HARLEM MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED A ELSOURY (OWNER)
(212) 289-8900
Entity
Organization
Contact information
Practice address
1767 PARK AVE, 2ND FLOOR, NEW YORK, NY 10035-1929
(212) 289-8900
(212) 289-8981
Mailing address
1767 PARK AVE, 2ND FLOOR, NEW YORK, NY 10035-1929
(212) 289-8900
(212) 289-8981
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
234547
NY
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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