Organization
VILLAGE DIAGNOSTIC AND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ROSSETTI NP (DIRECTOR)
(212) 337-9273
Entity
Organization
Contact information
Practice address
121A WEST 20TH STREET, NEW YORK, NY 10011
(212) 337-9290
(212) 337-9275
Mailing address
121A WEST 20TH STREET, NEW YORK, NY 10011
(212) 337-9290
(212) 337-9275
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
F305430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02743557
—
NY
Enumeration date
07/06/2011
Last updated
07/06/2011
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