EAST SIDE SPECIALIZED SERVICES INC


Address: 772 Park Ave, New York, NY 10021-4153
Phone: 2124523005

EAST SIDE SPECIALIZED SERVICES INC (NPI# 1982749230) 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) 1982749230
Entity Type Organization
Organization Name EAST SIDE SPECIALIZED SERVICES INC
Practice Address 772 Park Ave
New York
NY 10021-4153
Practice Telephone 2124523005
Practice Fax Number 2124523660
Mailing Telephone 2124523005
Mailing Fax Number 2124523660
Enumeration Date 2007-02-21
Last Update Date 2009-08-12
Authorized Official Name DR. VIJAY K ANAND (PRESIDENT)
Authorized Official Telephone 2124523005
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
145350 NY Ambulatory Health Care Facilities

Office Location

Street Address 772 PARK AVE
City NEW YORK
State NY
Zip Code 10021-4153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750501011 Vijay K. Anand Physician, P.C. Specialist 772 Park Ave, New York, NY 10021-4153 2007-04-27

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1750915344 Stacyann S Foster Nurse Practitioner 1305 York Avenue 2nd Floor, New York, NY 10021 2020-02-24
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1760907794 Andrew S. Gardner, M.d., P.C. Clinic/Center 345 E 37th St Ste 40g, New York, NY 10016-3256 2017-08-10
1558615955 Enrique Hernandez Md Cardiac & Vascular Services Pllc Clinic/Center 665 W 182nd St, New York, NY 10033-3805 2012-11-07
1235427022 Mary Ruth Buchness Md Dermatologist PC Clinic/Center 560 Broadway Rm 406, New York, NY 10012-3946 2011-07-14
1700173283 Ns Medical, Pllc Clinic/Center 73 Spring St Rm 601, New York, NY 10012-5802 2011-07-05
1124314273 Oasis Integrated Medical Health, PC Clinic/Center 139 Manhattan, New York, NY 10025 2011-06-27
1225324015 Sandy Cheung, Do, Pllc Clinic/Center 18 East Broadway, Suite 503, New York, NY 10002 2011-06-21
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Competitor

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City NEW YORK
Zip Code 10021

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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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