Organization
INWOOD DIAGNOSTIC AND TREATMENT CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRES MIGUEL PEREIRA M.D. (MEDICAL DIRECTOR)
(212) 567-6200
Entity
Organization
Contact information
Practice address
47 SICKLES ST OFC 1A, NEW YORK, NY 10040-1604
(212) 567-6200
(212) 567-9397
Mailing address
47 SICKLES ST SUITE 1A, NEW YORK, NY 10040-1604
(212) 567-6200
(212) 567-9397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
173568
NY
213E00000X
Podiatrist
—
—
Other
Enumeration date
05/19/2015
Last updated
09/21/2015
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