Organization
GENESIS MEDICAL DIAGNOSTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUTH CHAMBI JOHNSON M.D. (OWNER)
(347) 756-1696
Entity
Organization
Contact information
Practice address
164 E 61ST ST, #1A, NEW YORK, NY 10065-8539
(212) 644-9100
(212) 644-6116
Mailing address
164 E 61ST ST, #1A, NEW YORK, NY 10065-8539
(212) 644-9100
(212) 644-6116
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
244276
NY
Other
Enumeration date
04/30/2011
Last updated
04/30/2011
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