Organization
AGELESS MEN'S HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(702) 818-0446
Entity
Organization
Contact information
Practice address
65 BROADWAY STE 1804, NEW YORK, NY 10006-2560
(212) 430-6677
(212) 430-6678
Mailing address
65 BROADWAY STE 1804, NEW YORK, NY 10006-2560
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
22 634573
NY
Other
Enumeration date
04/17/2012
Last updated
11/22/2024
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