Organization
AGELESS MEN'S HEALTH HOLDINGS, PC CA
Active
Other names
Ageless Men's Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(702) 818-0446
Entity
Organization
Contact information
Practice address
78 TODT HILL RD STE 205, STATEN ISLAND, NY 10314-4528
(212) 837-1946
(212) 837-1908
Mailing address
1847 VICTORY BLVD, LOWER LEVEL, STATEN ISLAND, NY 10314-3550
(212) 837-1946
(212) 837-1908
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
11/11/2024
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