33D0955388 CLIA NUMBER - INTENSIVE MEDICAL PC

Laboratory Demographics

CLIA Number: 33D0955388

Facility Name: INTENSIVE MEDICAL PC

Facility Address:
1001 5TH AVENUE, OFC 1N
NEW YORK, NY
ZIP 10028
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Facility Phone Number: 212 861-6161

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801918636

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	33D0955388
LAB Type	Physician Office
Facility Name	INTENSIVE MEDICAL PC
Street	1001 5TH AVENUE, OFC 1N
City	NEW YORK
State	NY
ZIP	10028
Phone	212 861-6161
CertificateType	4
CertificateEffectiveDate	12/29/2022
CertificateExpirationDate	12/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024