1609438076 NPI number — DR. MONICA CHARLOTTE O'ROURKE AUD

Table of content: DR. MONICA CHARLOTTE O'ROURKE AUD (NPI 1609438076)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609438076 NPI number — DR. MONICA CHARLOTTE O'ROURKE AUD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
O'ROURKE
Provider First Name:
MONICA
Provider Middle Name:
CHARLOTTE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
AUD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SKARZYNSKI
Provider Other First Name:
MONICA
Provider Other Middle Name:
CHARLOTTE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
AUD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1609438076
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/02/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 W. 40TH ST.
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-354-2360
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 W. 40TH ST.
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-354-2360
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/05/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  002866 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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