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Organization

TRIBECA INTERNAL MEDICINE & INFECTIOUS DISEASES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER BUSILLO MD (PHYSICIAN)
(212) 374-2145
Entity
Organization

Contact information

Practice address
122 FULTON ST FL 4, NEW YORK, NY 10038-2765
(212) 374-2145
(212) 374-2159
Mailing address
122 FULTON ST FL 4, NEW YORK, NY 10038-2765
(212) 374-2145
(212) 374-2159

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
179207
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
179207
LICENSE
NY
Enumeration date
08/10/2007
Last updated
08/10/2007
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