Organization
CHEETHAM PHYSICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIPPA JAYNE CHEETHAM (PRESIDENT)
(718) 963-3495
Entity
Organization
Contact information
Practice address
322 W 57TH ST, 52Q, NEW YORK, NY 10019-3701
(718) 963-3495
(718) 963-3496
Mailing address
322 W 57TH ST, 52Q, NEW YORK, NY 10019-3701
(718) 963-3495
(718) 963-3496
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
267290
NY
Other
Enumeration date
10/26/2015
Last updated
12/21/2015
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