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Organization

CROSBY STREET INTERNAL MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOANNE RIVERA (BILLING MANAGER)
(718) 920-9074
Entity
Organization

Contact information

Practice address
594 BROADWAY, SUITE 310, NEW YORK, NY 10012-3233
(718) 920-9074
Mailing address
594 BROADWAY, SUITE 310, NEW YORK, NY 10012-3233
(212) 219-8858

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
01/26/2011
Last updated
01/26/2011
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