Organization
CLB MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORDIA L BEVERLEY M.D, (PRESIDENT)
(212) 876-1886
Entity
Organization
Contact information
Practice address
1085 PARK AVE, SUITE 1N, NEW YORK, NY 10128-1168
(212) 876-1886
Mailing address
1085 PARK AVE, SUITE 1N, NEW YORK, NY 10128-1168
(212) 876-1886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
130612
NY
Other
Enumeration date
03/24/2008
Last updated
04/18/2008
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