Organization
VINCENT COBBLAH MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT QUAO COBBLAH MD (OWNER)
(914) 309-7122
Entity
Organization
Contact information
Practice address
16TH STREET AND FIRST AVE, BETH ISRAEL MEDICAL CENTER, NEW YORK, NY 10003
(212) 420-2385
Mailing address
201 E 17TH ST, SUITE 5F, NEW YORK, NY 10003-3607
(914) 309-7122
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
203157
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G41879
—
NY
Enumeration date
01/19/2007
Last updated
08/22/2020
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