High Line Modern Medicine
High Line Modern Medicine provides Pediatrics Physician services in New York, New York. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
420 W 23rd St Apt AgfNew York, NY 10011-2100
Phone: (646) 681-1211
Fax: (646) 607-2616
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1588452379 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Luz Ponder — Manager · (646) 681-1211 |
| NPI enumerated | April 30, 2025 |
| Last updated in NPPES | June 17, 2025 |
| Certification date | June 17, 2025 |
| Mailing address | 420 W 23rd St Apt Agf, New York, NY 10011-2100 |
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