Provider Demographics
NPI:1568500478
Name:ROLAND J. FIGUEREDO
Entity type:Organization
Organization Name:ROLAND J. FIGUEREDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UNIT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FIGUEREDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-690-7400
Mailing Address - Street 1:420 E 72ND ST
Mailing Address - Street 2:17 E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4650
Mailing Address - Country:US
Mailing Address - Phone:212-861-2576
Mailing Address - Fax:
Practice Address - Street 1:30 W 138TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1710
Practice Address - Country:US
Practice Address - Phone:212-690-7400
Practice Address - Fax:212-740-6693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY119118314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE20036Medicare UPIN