Organization
MEDISPA ONE NY PLAZA LLC
Active
Other names
TheMediSpa
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SANSARICQ (MANAGING MEMBER/CEO)
(917) 907-1546
Entity
Organization
Contact information
Practice address
1 NEW YORK PLZ, CONCOURSE LEVEL, WHITEHALL STREET, NEW YORK, NY 10004-1901
(646) 918-6883
(646) 737-6883
Mailing address
1 NEW YORK PLZ, CONCOURSE LEVEL, WHITEHALL STREET, NEW YORK, NY 10004-1901
(646) 918-6883
(646) 737-6883
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
11/01/2016
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