Organization
TRIFECTA HEALTH MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD FRUITMAN M.D. (MEDICAL DIRECTOR)
(212) 233-2830
Entity
Organization
Contact information
Practice address
115 BROADWAY, STE. 1300, NEW YORK, NY 10006-1604
(212) 233-2830
(888) 348-5193
Mailing address
115 BROADWAY, STE. 1300, NEW YORK, NY 10006-1604
(212) 233-2830
(888) 348-5193
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
747423UPD
NY
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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