Organization
UPPER EASTSIDE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON SCRIMMAGER MD (OWNER)
(212) 249-1627
Entity
Organization
Contact information
Practice address
210 E 86TH ST, SUITE 202A, NEW YORK, NY 10028-3003
(212) 249-1627
(212) 249-1640
Mailing address
210 E 86TH ST, SUITE 202A, NEW YORK, NY 10028-3003
(212) 249-1627
(212) 249-1640
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
184535
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01435161
—
NY
Enumeration date
04/27/2016
Last updated
04/27/2016
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