Organization
NYC 23RD STREET MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NIELI (BILLING MANAGER)
(914) 376-6100
Entity
Organization
Contact information
Practice address
123 W 20TH ST, NEW YORK, NY 10011-3639
(914) 376-6100
Mailing address
1053 SAW MILL RIVER RD # SUITELL1, ARDSLEY, NY 10502-1048
(914) 376-6100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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