S&G MEDICAL OFFICE PC NPI 1699900332

NPI Information

S&G MEDICAL OFFICE, PC is a general practice in New York, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee S&G MEDICAL OFFICE, PC NPI is 1699900332. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

39 EAST BROADWAY
SUITE 603
NEW YORK, NY
ZIP 10002
Phone: (212) 233-2078
Fax: (212) 233-2079

The provider's authorized official is Min Song .
The authorized official title is President and has the following contact phone number (212) 233-2078.

The CLIA number assigned to this NPI record is 33D1037769 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2009 and was last updated on 5/26/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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