1841478450 NPI number — MANHATTAN COMPREHENSIVE EAR MEDICINE, PLLC

Table of content: (NPI 1841478450)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841478450 NPI number — MANHATTAN COMPREHENSIVE EAR MEDICINE, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MANHATTAN COMPREHENSIVE EAR MEDICINE, PLLC
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:
1841478450
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/06/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
161 MADISON AVENUE
Provider Second Line Business Mailing Address:
SUITE 10 SW
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-213-3456
Provider Business Mailing Address Fax Number:
646-695-0690

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
161 MADISON AVENUE
Provider Second Line Business Practice Location Address:
SUITE 10 SW
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-213-3456
Provider Business Practice Location Address Fax Number:
646-695-0690
Provider Enumeration Date:
02/06/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SILVERS
Authorized Official First Name:
STACEY
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER 50 PERCENT
Authorized Official Telephone Number:
212-213-3456

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X , with the licence number:  202817 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207Y00000X , with the licence number: 232741 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231H00000X , with the licence number: 7431 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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