Organization
FAMILY MEDICAL GROUP OF MANHATTAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY EDWIN LEEDS MD. (PRESIDENT)
(212) 366-9112
Entity
Organization
Contact information
Practice address
22 W 15TH ST, NEW YORK, NY 10011-6842
(212) 366-9112
(212) 206-7719
Mailing address
22 W 15TH ST, NEW YORK, NY 10011-6842
(212) 366-9112
(212) 206-7719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
04/23/2012
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