MMC MANHATTAN PRACTICE AT PARK AVE (NPI# 1639363302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639363302 |
| Entity Type | Organization |
| Organization Name | MMC MANHATTAN PRACTICE AT PARK AVE |
| Practice Address |
Mmc Manhattan Practice At Park Ave 969 Park Avenue New York NY 10028-0322 |
| Mailing Address |
Cmo 100 Corporate Drive Yonkers NY 10701 |
| Practice Telephone | 9143774722 |
| Mailing Telephone | 9143774722 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |
| Authorized Official Name | MICHAEL G DOWLING (DIRECTOR) |
| Authorized Official Telephone | 9143774668 |
| Is Organization Subpart | Y |
| Parent Organization Name | MONTEFIORE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
7000006H | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578758850 | Mmc Manhattan Practice At Park Ave | Clinic/Center | 969 Park Avenue, Mmc Manhattan Practice At Park Ave, New York, NY 10028-0322 | 2007-09-11 |
| Street Address |
MMC MANHATTAN PRACTICE AT PARK AVE 969 PARK AVENUE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10028-0322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256329 | Anna Holloway | Physical Therapist | 245 East 84th Street, Ground Floor, New York, NY 10028 | 2020-08-20 |
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| 1235769449 | Behavioral Health of New York Psychology PC | Psychologist | 103 East 86th Street #1e, New York, NY 10028 | 2020-01-16 |
| 1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
| 1427601574 | Vasileios Bouris | Student in an Organized Health Care Education/Training Program | 152 E 84th St., Manhattan, New York, NY 10028 | 2019-07-18 |
| 1770049728 | Kinetic Kids Occupational Therapy Pllc | Occupational Therapist | 312 E 85th Street, Ba, New York, NY 10028 | 2019-02-14 |
| 1447744909 | Blueprint-nutrition P.l.l.c. | Dietitian, Registered | 345 E. 81st Street, Apt 5d, New York, NY 10028 | 2018-06-19 |
| 1073024840 | Katrina Dever | Nurse Practitioner | 12 E 86th St Ofc 4c, New York, NY 10028 | 2017-10-19 |
| 1255853610 | Alison C Baker | Social Worker | 1035 Park Avenue, #8b, New York, NY 10028 | 2017-07-07 |
| 1427411248 | Bibek Gurung | Registered Nurse | 517 E 83rd Street, Apt 3w, Ny, NY 10028 | 2016-03-30 |
| Find all providers in zip 10028 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265978365 | Jin Qiu Md PC | Clinic/Center | 141 E 55th St Apt 4c, Apt 4c, New York, NY 10022-4050 | 2017-01-12 |
| 1588112031 | Babak Tofighi, Md | Clinic/Center | 229 E 28th St, Apt 1b, New York, NY 10016-8507 | 2016-09-13 |
| 1699172551 | Win Medical Services,pc | Clinic/Center | 98 E Broadway # 501, New York, NY 10002-7181 | 2014-11-20 |
| 1023446978 | The Medical Offices of Occupational Health Resources P C | Clinic/Center | 1 Madison Ave # Level2b, New York, NY 10010-3603 | 2013-10-30 |
| 1114290012 | Myron I Buchman Mdpcv | Clinic/Center | 117 East 72nd St, New York, NY 10021 | 2012-02-23 |
| 1225308570 | Zov Medical Pllc | Clinic/Center | 116 E 63rd St, 1a, New York, NY 10065-7325 | 2012-01-04 |
| 1649576729 | New York Patientfirst Medical and Geriatric Quality Health Services | Clinic/Center | 41 Mott St Fl 5, New York, NY 10013-5041 | 2011-02-07 |
| 1881922821 | New York-presbyterian Hospital | Clinic/Center | 622 W. 168th St, Vc401, New York-presbyterian Hospital, New York, NY 10032 | 2009-12-03 |
| 1851554851 | Village Health Care Clinic | Clinic/Center | 121 A West 20th St, Village Diagnostic and Treatment Center, New York, NY 10011 | 2008-07-09 |
| 1609060367 | Mmc At American Red Cross Family Shelter Icahn East | Clinic/Center | 4 East 28th Street, Mmc At American Red Cross Family Shelter Icahn East, New York, NY 10016-7402 | 2007-09-05 |
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| 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.