105 EAST 78 STREET MEDICAL

NEW YORK, NY
NPI1578852588
Entity TypeOrganization
Authorized ContactEVERETT LAUTIN
President
212-535-3313
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: NY  60112817)
Enumeration Date2011-03-30
Last Update Date2011-03-30
Business Address
105 EAST 78 STREET MEDICAL
885 PARK AVE SUITE 105
NEW YORK, NY 10075-0325
Phone number: 212-535-3313
Mailing Address
105 EAST 78 STREET MEDICAL
885 PARK AVE SUITE 105
NEW YORK, NY 10075-0325
Phone number: 212-535-3313