Organization
EASTSIDE ALLIANCE MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
36 E 31ST ST FL 10, NEW YORK, NY 10016-6821
(212) 979-3237
(212) 979-3447
Mailing address
36 E 31ST ST FL 10, NEW YORK, NY 10016-6821
(212) 979-3237
(212) 979-3447
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03152572
—
NY
Enumeration date
06/05/2008
Last updated
05/13/2026
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