Provider Demographics
NPI:1699837237
Name:NEW YORK MEDICAL COLLEGE FACULTY PRACTICE
Entity type:Organization
Organization Name:NEW YORK MEDICAL COLLEGE FACULTY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF AFFILIATION OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-423-7337
Mailing Address - Street 1:N.Y. MEDICAL COLLEGE METROPOLITAN AFFILIATION
Mailing Address - Street 2:1901 FIRST AVE. ROOM 5 SOUTH 2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-423-7616
Mailing Address - Fax:212-423-8478
Practice Address - Street 1:N.Y. MEDICAL COLLEGE METROPOLITAN AFFILIATION
Practice Address - Street 2:1901 FIRST AVE. ROOM 5 SOUTH 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-423-7616
Practice Address - Fax:212-423-8478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Not Answered207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty