1317 Medical, P.C.
Anesthesiology in New York, NY. Organization (NPI-2).
NPI number1124068929
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124068929
- Entity type
- Organization (NPI-2)
- Legal business name
- 1317 Medical, P.C.
- Organization subpart
- No
- Enumeration date
- Jun 8, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
1317 3rd Ave7th Floor
New York, NY 10021-2995
Phone 212-794-0240 · Fax 212-570-2038
Mailing address
1317 3rd Ave7th Floor
New York, NY 10021-2995
Phone 212-794-0240 · Fax 212-570-2038
Authorized official
Peter Sungwon Kim
President
2127940240
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