Organization
BROADWAY I MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE F PEREZ M.D. (PHYSICIAN)
(212) 740-7100
Entity
Organization
Contact information
Practice address
4250 BROADWAY RM 1A, NEW YORK, NY 10033-3749
(212) 740-7100
(212) 740-8232
Mailing address
4250 BROADWAY RM 1A, NEW YORK, NY 10033-3749
(212) 740-7100
(212) 740-8232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
254371
NY
Other
Enumeration date
03/26/2010
Last updated
12/09/2020
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