VILLAGE HEALTH CARE CLINIC


Address: 121 A West 20th St, Village Diagnostic and Treatment Center, New York, NY 10011
Phone: 2123379290

VILLAGE HEALTH CARE CLINIC (NPI# 1851554851) 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) 1851554851
Entity Type Organization
Organization Name VILLAGE HEALTH CARE CLINIC
Practice Address 121 A West 20th St
Village Diagnostic and Treatment Center
New York
NY 10011
Mailing Address 240 1st Ave
Suite#c
New York
NY 10009-2601
Practice Telephone 2123379290
Mailing Telephone 2129822075
Enumeration Date 2008-07-09
Last Update Date 2008-07-09
Authorized Official Name DR. LAWRENCE GEORGE HITZEMAN (MEDICAL DIRECTOR)
Authorized Official Telephone 2123379290
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
206313 NY Ambulatory Health Care Facilities

Office Location

Street Address 121 A WEST 20TH ST
VILLAGE DIAGNOSTIC AND TREATMENT CENTER
City NEW YORK
State NY
Zip Code 10011

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10011

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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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