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Organization

HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXEY FOMIN M.D., PHD (RESIDENT)
(917) 698-0458
Entity
Organization

Contact information

Practice address
170 WILLIAM STREET, NEW YORK, NY 10038-1882
(212) 312-5000
Mailing address
170 WILLIAM STREET, NEW YORK, NY 10038-1882

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
03/23/2012
Last updated
09/13/2012
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