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NPI Code Detail

MEDICARE: METRO PHYSICIAN ASSOCIATES LLP

MEDICARE: METRO PHYSICIAN ASSOCIATES LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207UN0901XNuclear Cardiology Physician114071NY

General Provider Information

NPI Number : 1437308798
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO PHYSICIAN ASSOCIATES LLP
Provider Business Mailing Address
First Line : PO BOX 1816
Second Line :
City : NEW YORK
State : NY
Zip : 10159-1816
Country : US
Telephone Number : 212-475-8066
Fax Number : 212-475-4175
Provider Business Practice Location Address
First Line : 3050 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10467-8124
Country : US
Telephone Number : 212-475-8066
Fax Number : 212-475-4175
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. KENNETH JOHN HERWIG II
Credential : MD
Telephone Number : 212-475-8066
Provider Enumeration Date : 09/11/2008
Last Update Date : 09/11/2008

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Directions to “METRO PHYSICIAN ASSOCIATES LLP ” Practice Location

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