Individual
EUGENE MEDVEDEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(646) 797-8698
Mailing address
PO BOX 29239, NEW YORK, NY 10087-9239
(646) 797-8698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
299428
NY
Other
Enumeration date
06/17/2012
Last updated
01/05/2024
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