Organization
MID MANHATTAN MEDICAL, P.C.
Active
Other names
Park Avenue Trauma Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIDEON HEDRYCH M.D. (MEDICAL DIRECTOR)
(718) 625-9911
Entity
Organization
Contact information
Practice address
100 LIVINGSTON ST, SUITE 2, BROOKLYN, NY 11201-5127
(718) 625-9911
(718) 625-9517
Mailing address
100 LIVINGSTON ST, SUITE 2, BROOKLYN, NY 11201-5127
(718) 625-9911
(718) 625-9517
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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