Organization
ADVANCED MEDICAL OF GRAND CENTRAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA MASHENSKY MD (OWNER)
(347) 401-8476
Entity
Organization
Contact information
Practice address
50 E 42ND ST, STE 200, NEW YORK, NY 10017-5405
(212) 867-0405
(212) 867-0409
Mailing address
1003 HAMPTON AVE, BROOKLYN, NY 11235-3013
(347) 401-8476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2007
Last updated
08/11/2008
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