Individual
REBECCA EDITH PELLETT MADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 501-2469
(212) 263-7806
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 501-2469
(212) 263-7806
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
227143
NY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
227143
NY
Other
Enumeration date
07/28/2006
Last updated
05/29/2020
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