Organization
METROPOLITAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE BOTHWELL (PHYSICIAN ASSISTANT)
(203) 273-0863
Entity
Organization
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(212) 423-6262
Mailing address
316 CARNATION RD, WEST ISLIP, NY 11795-2802
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
015373
NY
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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