Provider Demographics
NPI:1194487520
Name:ATRIA PHYSICIAN PRACTICE NEW YORK, PC
Entity Type:Organization
Organization Name:ATRIA PHYSICIAN PRACTICE NEW YORK, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DODICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-600-2000
Mailing Address - Street 1:505 PARK AVE FL 11
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1106
Mailing Address - Country:US
Mailing Address - Phone:212-600-2000
Mailing Address - Fax:
Practice Address - Street 1:36 E 57TH ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2500
Practice Address - Country:US
Practice Address - Phone:212-600-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty