Provider Demographics
NPI:1528296746
Name:UNITED HEALTHCARE OF NEW YORK, INC.
Entity type:Organization
Organization Name:UNITED HEALTHCARE OF NEW YORK, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PASQUALE
Authorized Official - Middle Name:
Authorized Official - Last Name:CELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-898-8429
Mailing Address - Street 1:77 WATER STREET-14TH FLOOR
Mailing Address - Street 2:ATTENTION: PLAN PRESIDENT/CEO
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005
Mailing Address - Country:US
Mailing Address - Phone:212-898-8429
Mailing Address - Fax:800-999-1359
Practice Address - Street 1:7 HANOVER SQ
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-2616
Practice Address - Country:US
Practice Address - Phone:212-898-8441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization