| NPI | 1205882040 |
|---|---|
| Other Name | CMC MADISON AVE PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | SONIA RESTREPO Credentialer 212-563-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 363L00000X Nurse Practitioner | |
| 2085B0100X Radiology, Body Imaging | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-01-22 |