Organization
EASTSIDE MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M. LORIA M.D. (PRACTICE OWNER)
(212) 288-2278
Entity
Organization
Contact information
Practice address
111 E 88TH ST STE 1A, NEW YORK, NY 10128-1111
(212) 288-2278
(212) 517-4077
Mailing address
111 E 88TH ST STE 1A, NEW YORK, NY 10128-1111
(212) 288-2278
(212) 517-4077
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
165740
NY
207KA0200X
Allergy Physician
165740
NY
207R00000X
Internal Medicine Physician
Primary
165740
NY
207R00000X
Internal Medicine Physician
178028
NY
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
165740
NY
207RG0100X
Gastroenterology Physician
178028
NY
Other
Enumeration date
04/02/2007
Last updated
03/06/2023
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