Organization
123 MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALCIBIADES RODRIGUEZ MD (PRESIDENT)
(212) 543-1800
Entity
Organization
Contact information
Practice address
286 FORT WASHINGTON AVE, SUITE# 1G, NEW YORK, NY 10032-1315
(212) 543-1800
Mailing address
286 FORT WASHINGTON AVE, SUITE# 1G, NEW YORK, NY 10032-1315
(212) 543-1800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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