Organization
MAIDEN LANE MEDICAL, PLLC
Active
Parent organization
MAIDEN LANE MEDICAL, PLLC
Other names
Maiden Lane Medical Women's Walk In
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAIDEN LANE MEDICAL, PLLC
Authorized official
KENNETH LEVEY MD (MANAGING PARTNER)
(646) 290-9560
Entity
Organization
Contact information
Practice address
222 E 34TH ST, NEW YORK, NY 10016-4842
(646) 290-9560
Mailing address
90 MAIDEN LN RM 300, NEW YORK, NY 10038-4725
(646) 290-9560
(212) 532-4362
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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