MEDICAL PRACTICE NY PC
Ambulatory Health at 86 St, New York, NY

License number
New York 185185
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: MS. YELENA MAMEDOVA-BRAZ MD
Title: OWNER
Phone: (212) 874-0143
Address
Address
5 W 86Th St APT 1C, New York, NY 10024
National Provider ID: 1023251261
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MEDICAL PRACTICE NY PC at bizstanding.com

MEDICAL PRACTICE N.Y., PC

5 W 86 St STE 1C, New York, NY 10024

Registration:
Feb 14, 1996
State ID:
2000082
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Yelena Mamedova-Braz Md, 5 W 86 St STE 1C, New York, NY 10024 (Physical)

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