Organization · NPI-2

424 Madison Avenue INC

Clinic/Center, Emergency Care · New York, NY

NPI number1629570577
StatusActive
Last updated in NPPESMar 7, 2018

Details

NPI
1629570577
Entity type
Organization (NPI-2)
Legal business name
424 Madison Avenue INC
Organization subpart
No
Enumeration date
Mar 7, 2018
Last updated
Mar 7, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0002X Clinic/Center, Emergency Care–NYYes

Practice location

424 Madison Ave Fl 15
New York, NY 10017-1158

Phone 212-753-7400

Mailing address

424 Madison Ave Fl 15
New York, NY 10017-1158

Phone 212-753-7400

Authorized official

Frank Dicicco
Owner
2127537400

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Emergency Care providers in New York, NY