DRD MEDICAL PC
Psychiatric at Madison Ave, New York, NY

License number
New York 225074-1
Category
Psychiatric
Type
Pain Medicine
Owner
Name: DR. DAVID RANDALL DYNOF M.D.
Title: MEDICAL DIRECTOR
Phone: (917) 207-8490
Address
Address
271 Madison Ave SUITE 1601, New York, NY 10016
National Provider ID: 1205045853
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DRD MEDICAL PC

New York, NY

Status:
Inactive
Industry:
Health/Allied Services
Registration:
Feb 24, 2006
Addresses:
55 W 25 St Ph E, New York, NY 10010 (Physical)
55 W 25 St, New York, NY 10010
State ID:
3325563
Business type:
DOMESTIC PROFESSIONAL CORPORATION
David Dynof Md, 271 Madison Ave SUITE 1600, New York, NY 10016 (Physical)
Agent:
Spiegel & Utrera, P.a., Pc,271 Madison Ave SUITE 1600, New York, NY 10016 (Physical)
45 John St SUITE 711, New York, NY 10038 (Physical)

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