Registry details
Type
Organization
Primary specialty
Internal Medicine
Enumerated
Jan 29, 2008
License(s)
204704 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 571 ACADEMY ST STE GLE | New York, NY 10034-5104 | 212-567-0550 |
| LOCATION | 1624 UNIVERSITY AVE. | Bronx, NY 10453-6948 | 718-294-4008 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.