Gramaercy Park Medical Group

NPI #1396843967 in New York, New York

Provider Information

NPI Number: 1396843967
Entity Type: Organization
Organization Name: Gramaercy Park Medical Group
Primary Specialty: Clinic/Center - Methadone
Enumeration Date: Sep 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 253 3RD AVE # 55
City: New York
State: New York
ZIP Code: 10010-7401
Phone: (212) 475-1900

Authorized Official

Name: FELICITAS AMADOR
Title: MEDICAL DIRECTOR
Phone: (212) 475-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Methadone — Methadone	261QM2800X	Primary

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