Organization
MASSIMO DEGIARDE, MDPC
Active
Other names
Lafayette Medical Approach
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASSIMO DEGIARDE M.D. (MEDICAL DIRECTOR)
(212) 966-7193
Entity
Organization
Contact information
Practice address
233 LAFAYETTE ST, NEW YORK, NY 10012-4051
(212) 431-6177
(212) 966-7160
Mailing address
233 LAFAYETTE STREET, NEW YORK, NY 10012-4051
(212) 431-6177
(212) 966-7160
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
100710386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00166849
—
NY
Enumeration date
04/19/2011
Last updated
04/19/2011
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