1811351240 NPI number — NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING

Table of content: MS. SHERONA VARULKAR OIL L.AC. (NPI 1235315920)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811351240 NPI number — NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING
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:
6
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:
1811351240
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
535 EAST 70TH STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11434-4823
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-606-1239
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3 CHASE METROTECH CTR
Provider Second Line Business Practice Location Address:
FLOOR 02
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11245-0031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-774-7518
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2016

Additional Information

Authorized Official

Authorized Official Last Name:
MALAKOFF
Authorized Official First Name:
STACEY
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE V.P. & CFO
Authorized Official Telephone Number:
212-606-1239

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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