PROGRESSIVE MULTI SPECIALTY CARE


Address: 19 W 34th St Rm 608, New York, NY 10001-3006
Phone: 2122447670

PROGRESSIVE MULTI SPECIALTY CARE (NPI# 1518516079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518516079
Entity Type Organization
Organization Name PROGRESSIVE MULTI SPECIALTY CARE
Practice Address 19 W 34th St Rm 608
New York
NY 10001-3006
Practice Telephone 2122447670
Practice Fax Number 2122443174
Mailing Telephone 2122447670
Mailing Fax Number 2122443174
Enumeration Date 2019-09-08
Last Update Date 2019-09-08
Authorized Official Name DR. RABIN ROZEHZADEH (MEMBER)
Authorized Official Telephone 2122447670
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
N 261QP1100X Clinic/Center
Specialization: Podiatric
Ambulatory Health Care Facilities
N 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 19 W 34TH ST RM 608
City NEW YORK
State NY
Zip Code 10001-3006

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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