TRI-STATE PREMIER MEDICAL MSO, LLC

BROOKLYN, NY
NPI1346511482
Entity TypeOrganization
Authorized ContactDENNIS PRICE
Treasurer
718-422-8055
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2012-01-20
Last Update Date2012-01-20
Business Address
TRI-STATE PREMIER MEDICAL MSO, LLC
233 NOSTRAND AVE PREFERRED HEALTH PARTNERS
BROOKLYN, NY 11205-4924
Phone number: 718-564-2074
Mailing Address
TRI-STATE PREMIER MEDICAL MSO, LLC
499 WASHINGTON BLVD FL 14 C/- MANHATTAN'S PHYSICIAN GROUP
JERSEY CITY, NJ 07310-2010
Phone number: