| Citymd | |
|
124 Main St Ste 16 Huntington NY 11743-6922 | |
| (631) 423-7000 | |
| Not Available |
| Full Name | Citymd |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 124 Main St Ste 16, Huntington, New York |
| Authorized Official Name and Position | Jeffrey D Lebenger (CEO) |
| Authorized Official Contact | 9087906567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citymd 1345 Avenue Of The Americas Fl 8 New York NY 10105-0018 Ph: (908) 588-3635 | Citymd 124 Main St Ste 16 Huntington NY 11743-6922 Ph: (631) 423-7000 |
| NPI Number | 1043815848 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043815848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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