Organization
PATHWAYS MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO A PONIEMAN MD (OWNER)
(212) 865-2740
Entity
Organization
Contact information
Practice address
111 W 110TH ST, NEW YORK, NY 10026-4281
(212) 856-2740
(212) 537-6414
Mailing address
111 W 110TH ST, NEW YORK, NY 10026-4281
(212) 856-2740
(212) 537-6414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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