105 EAST 78 STREET MEDICAL is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. 105 EAST 78 STREET MEDICAL NPI is 1578852588. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
885 PARK AVE
SUITE 105
NEW YORK, NY
ZIP 10075-325
Phone: (212) 535-3313
Fax: (212) 734-3192
The provider's authorized official is Everett Lautin .
The authorized official title is President and has the following contact phone number (212) 535-3313.
The enumeration date for this NPI number is 3/30/2011 and was last updated on 3/30/2011.