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33D0975892 CLIA NUMBER - RICARDO ISSA PHYSICIAN PC

Laboratory Demographics

CLIA Number: 33D0975892

Facility Name: RICARDO ISSA PHYSICIAN PC

Facility Address:
1041 3RD AVE SUITE 201
NEW YORK, NY
ZIP 10065
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Facility Phone Number: 212 772-1211

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1306123740

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 33D0975892
LAB Type Physician Office
Facility Name RICARDO ISSA PHYSICIAN PC
Street 1041 3RD AVE SUITE 201
City NEW YORK
State NY
ZIP 10065
Phone 212 772-1211
CertificateType 4
CertificateEffectiveDate 7/20/2022
CertificateExpirationDate 7/19/2024
FacilityType Waiver

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