Provider Demographics
NPI:1811925639
Name:NNMHC FPP
Entity type:Organization
Organization Name:NNMHC FPP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALAZZOTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-423-7095
Mailing Address - Street 1:1901 1ST AVE SUITE 5 SOUTH 2
Mailing Address - Street 2:METROPOLITAN HOSPITAL FPP
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-0000
Mailing Address - Country:US
Mailing Address - Phone:212-423-7095
Mailing Address - Fax:
Practice Address - Street 1:1901 1ST AVE SUITE 5 SOUTH 2
Practice Address - Street 2:METROPOLITAN HOSPITAL FPP
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-0000
Practice Address - Country:US
Practice Address - Phone:212-423-7095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01002579Medicaid
NY01002579Medicaid