Organization
EAST COAST MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS COLON (MANAGER)
(917) 674-1491
Entity
Organization
Contact information
Practice address
205 W 54TH ST APT 11A, NEW YORK, NY 10019-5535
(917) 674-1491
Mailing address
205 W 54TH ST APT 11A, NEW YORK, NY 10019-5535
(917) 674-1491
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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