Individual
DR. MICHAEL JONATHAN ALBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 E 70TH ST, 1F, NEW YORK, NY 10021-4941
(212) 517-2121
(212) 517-5601
Mailing address
33 E 70TH ST, 1F, NEW YORK, NY 10021-4941
(212) 517-2121
(212) 517-5601
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
120823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
712321
MEDICARE PTAN
NY
Enumeration date
01/17/2007
Last updated
10/11/2022
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