| The Storefront | |
|
350 A West 49th Street New York NY 10019 | |
| (212) 586-4773 | |
| (212) 974-0228 |
| Full Name | The Storefront |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 350 A West 49th Street, New York, New York |
| Authorized Official Name and Position | Brandon Trevor Howard (INTERNAL MEDICINE) |
| Authorized Official Contact | 2125864773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Storefront 350 A West 49th Street New York NY 10019 Ph: (212) 586-4773 | The Storefront 350 A West 49th Street New York NY 10019 Ph: (212) 586-4773 |
| NPI Number | 1891977344 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891977344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 60246452 (New York) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 60246452 (New York) | Primary |
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