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Organization

1016 5TH AVE GYNECOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAJID FATEH M.D. (MEDICAL DIRECTOR)
(212) 734-5555
Entity
Organization

Contact information

Practice address
1016 5TH AVE, NEW YORK, NY 10028-0132
(212) 734-5555
Mailing address
1016 5TH AVE, NEW YORK, NY 10028-0132

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CERT# 1576
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1576
AMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.
NY
Enumeration date
08/20/2015
Last updated
08/20/2015
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