Organization
424 MADISON AVENUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK DICICCO DMD (OWNER)
(212) 753-7400
Entity
Organization
Contact information
Practice address
424 MADISON AVE FL 15, NEW YORK, NY 10017-1158
(212) 753-7400
Mailing address
424 MADISON AVE FL 15, NEW YORK, NY 10017-1158
(212) 753-7400
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
NY
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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