1649500497 NPI number — RALPH EDWARD SCHLOSSMAN MDPC

Table of content: (NPI 1649500497)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649500497 NPI number — RALPH EDWARD SCHLOSSMAN MDPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RALPH EDWARD SCHLOSSMAN MDPC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649500497
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/02/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13056 LEFFERTS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH OZONE PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11420-2706
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-835-5500
Provider Business Mailing Address Fax Number:
718-738-2662

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13056 LEFFERTS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH OZONE PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11420-2706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-835-5500
Provider Business Practice Location Address Fax Number:
718-738-2662
Provider Enumeration Date:
12/29/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SCHLOSSMAN
Authorized Official First Name:
RALPH
Authorized Official Middle Name:
EDWARD
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
718-835-5500

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  078021 , 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)