Organization
MOADEL MIDTOWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN MOADEL MD (MEDICAL DIRECTOR)
(212) 490-3937
Entity
Organization
Contact information
Practice address
110 E 40TH ST FL 6, NEW YORK, NY 10016-1820
(212) 490-3937
Mailing address
110 E 40TH ST FL 6, NEW YORK, NY 10016-1820
(212) 490-3937
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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