Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1326469222 |
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| LBN Legal business name | 65 STREET MEDICAL P C | ||||
| Authorized official | LUIS NAVARRO - (PHYSICIAN) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/18/2013 | ||||
| Last updated | 12/18/2013 - About 12 years ago | ||||
| Identifiers |
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65 STREET MEDICAL P C
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