Provider Demographics
NPI:1114758646
Name:EAST 48TH MEDICAL, P.C.
Entity type:Organization
Organization Name:EAST 48TH MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPAPORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-843-8445
Mailing Address - Street 1:18 E 48TH ST FL 6J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1014
Mailing Address - Country:US
Mailing Address - Phone:917-843-8445
Mailing Address - Fax:844-831-4571
Practice Address - Street 1:18 E 48TH ST FL 6J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1014
Practice Address - Country:US
Practice Address - Phone:917-843-8445
Practice Address - Fax:844-831-4571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty