Ny Empire Medical Pc in Ridgewood - Specialist
Ny Empire Medical Pc - NPI 1902089568
Ny Empire Medical Pc is a Specialist in Ridgewood, New York. Ny Empire Medical Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ny Empire Medical Pc is 1902089568. The last update date is 2015-05-04.
Ny Empire Medical Pc's current location address is 5629 Metropolitan Ave, Ridgewood, New York. You can contact this provider via phone number 7184180300 and fax number 7184180301. The mailing address for Ny Empire Medical Pc is 5629 Metropolitan Ave, Ridgewood, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ny Empire Medical Pc |
|---|---|
| Address | 5629 Metropolitan Ave, Ridgewood, New York |
| Phone Number | 7184180300 |
| Fax Number | 7184180301 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Kaphan L Mitchell |
| Credentials | M.D. |
| Telephone Number | 7184180300 |
NPI Number Detail
| NPI Number | 1902089568 |
|---|---|
| Provider Enumeration Date | 2007-12-06 |
| Last Updated Date | 2015-05-04 |
Provider Mailing Address Detail
| Address | 5629 Metropolitan Ave |
|---|---|
| City | Ridgewood |
| State | New York (NY) |
| Post Code | 113851975 |
| Phone Number | 7184180300 |
| Fax Number | 7184180301 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 139985 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 139985 | NY | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ny Empire Medical Pc by the Centers for Medicare & Medicaid Services?
The Ny Empire Medical Pc has been issued the NPI (National Provider Identifier) 1902089568 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Ny Empire Medical Pc's physical address?
The Ny Empire Medical Pc is physically located at 5629 Metropolitan Ave, in the city of Ridgewood, NY, with the postal code 113851975.
What is the Ny Empire Medical Pc's specialty and taxonomy code?
The Ny Empire Medical Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902089568 to Ny Empire Medical Pc?
The Ny Empire Medical Pc received its 1902089568 assignment from the Centers for Medicare & Medicaid Services on 2007-12-06.
When was the information pertaining to Ny Empire Medical Pc most recently updated or revised?
The details related to Ny Empire Medical Pc, including its address, specialty, and other relevant information, were last updated or revised on 2015-05-04.