Organization
BETHANY MEDICAL CLINIC OF NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRIN PETERS M.D. (OWNER)
(336) 880-5915
Entity
Organization
Contact information
Practice address
222 E 31ST ST, SUITE 1R, NEW YORK, NY 10016-6333
(646) 509-0943
Mailing address
222 E 31ST ST, SUITE 1R, NEW YORK, NY 10016-6333
(646) 509-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
262706-1
NY
Other
Enumeration date
11/30/2011
Last updated
08/01/2013
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