Organization
ONE ELEVEN MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KRUMHOLZ MD (OWNER)
(212) 734-5533
Entity
Organization
Contact information
Practice address
111 E 80TH ST, SUITE 1C, NEW YORK, NY 10075-0334
(212) 734-5533
(212) 717-1688
Mailing address
111 E 80TH ST, SUITE 1C, NEW YORK, NY 10075-0334
(212) 734-5533
(212) 717-1688
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
147236
NY
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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