Organization
CENTRAL PARK MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHNOZ RUSTAMOVA (MD)
(212) 974-0490
Entity
Organization
Contact information
Practice address
134 WEST, 58TH STREET, SUITE102, NEW YORK, NY 10019
(212) 974-0490
(212) 974-0493
Mailing address
134 WEST, 58TH STREET, SUITE 102, NEW YORK, NY 10019
(212) 974-0490
(212) 974-0493
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
245082
NY
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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