MEDICAL ASSOCIATE OF WALL STREET, P.C. is a multi-specialty clinic center in New York, NY. MEDICAL ASSOCIATE OF WALL STREET, P.C. NPI is 1912272592. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
6 MAIDEN LN RM 500
NEW YORK, NY
ZIP 10038-140
Phone: (212) 233-3040
Fax: (212) 349-7529
The provider's authorized official is Glenn Gandelman .
The authorized official title is Chief Executive Officer and has the following contact phone number (212) 233-3040.
The CLIA number assigned to this NPI record is 33D2086224 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/15/2012 and was last updated on 9/20/2022.