Organization
UPTOWN NYC MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANJACQUES MBABUIKE MD (PRESIDENT)
(646) 559-0585
Entity
Organization
Contact information
Practice address
65 BROADWAY STE 1004, NEW YORK, NY 10006-2550
(646) 559-0585
(646) 559-2061
Mailing address
65 BROADWAY STE 1004, NEW YORK, NY 10006-2550
(646) 559-0585
(646) 559-2061
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
263896
NY
2085R0202X
Diagnostic Radiology Physician
237589-1
NY
208D00000X
General Practice Physician
Primary
237589-1
NY
208VP0000X
Pain Medicine Physician
263896
NY
Other
Enumeration date
08/01/2016
Last updated
09/15/2020
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