Jacob Lichy MD And Thomas Kolb MD PC
Specialist in New York, NY. Organization (NPI-2).
NPI number1023398377
StatusActive
Last updated in NPPESAug 18, 2011
Details
- NPI
- 1023398377
- Entity type
- Organization (NPI-2)
- Legal business name
- Jacob Lichy MD And Thomas Kolb MD PC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2011
- Last updated
- Aug 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 122218 | NY | Yes |
Practice location
52 E 78th StNew York, NY 10075-1810
Phone 212-879-4488
Mailing address
222 E 68th StNew York, NY 10065-6001
Phone 212-879-4488
Authorized official
Jacob Lichy
Provider
2128794488
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