CORINTHIAN MEDICAL IPA

NEW YORK, NY
NPI1124232939
Entity TypeOrganization
Authorized ContactRAMON MODESTO TALLAJ
President
212-740-8294
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2007-05-10
Last Update Date2022-07-21
Business Address
CORINTHIAN MEDICAL IPA
481 FORT WASHINGTON AVE
NEW YORK, NY 10033-4654
Phone number: 212-740-8294
Mailing Address
CORINTHIAN MEDICAL IPA
481 FORT WASHINGTON AVE
NEW YORK, NY 10033-4654
Phone number: 212-740-8294