Organization
HERALD SQUARE MEDICAL WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KOFFLER MD (PRESIDENT)
(646) 454-8264
Entity
Organization
Contact information
Practice address
45 W 34TH ST RM 1201, NEW YORK, NY 10001-3124
(646) 454-8264
(855) 312-6352
Mailing address
45 W 34TH ST RM 1201, NEW YORK, NY 10001-3124
(646) 454-8264
(855) 312-6352
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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