MCIC PHYSICIANS IPA GROUP INC NPI 1376095802

NPI Information

MCIC PHYSICIANS IPA GROUP, INC is an adult medicine family medicine in New York, NY. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. MCIC PHYSICIANS IPA GROUP, INC NPI is 1376095802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

40 EXCHANGE PL
701
NEW YORK, NY
ZIP 10005-701
Phone: (786) 554-1151
Fax: (786) 331-9660

The provider's authorized official is Tracy Folliard .
The authorized official title is Manager and has the following contact phone number (786) 554-1151.

The enumeration date for this NPI number is 11/1/2016 and was last updated on 11/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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