Organization
UPPER EAST ORTHOPAEDICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BADILLO (OFFICE MANAGER)
(212) 986-9200
Entity
Organization
Contact information
Practice address
315 E 83RD ST, NEW YORK, NY 10028-4301
(212) 986-9200
(212) 986-9400
Mailing address
315 E 83RD ST, NEW YORK, NY 10028-4301
(212) 986-9200
(212) 986-9400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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