Organization
AGELESS MEN'S HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(702) 818-0446
Entity
Organization
Contact information
Practice address
210 CENTRAL PARK S, NEW YORK, NY 10019-1428
(212) 837-1946
Mailing address
310 LEXINGTON AVE APT 1F, NEW YORK, NY 10016-3101
(212) 837-1946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
11/11/2024
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