1285676635 NPI number — HARTFORD MEDICAL PC

Table of content: GIOVANA MARIA CANCHERINI SILVEIRA (NPI 1265161822)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285676635 NPI number — HARTFORD MEDICAL PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARTFORD MEDICAL PC
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:
1285676635
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/02/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2215
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:
10101-2215
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-499-6590
Provider Business Mailing Address Fax Number:
718-499-6594

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
406 15TH ST
Provider Second Line Business Practice Location Address:
SUITE M-2
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11215-6054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-499-6590
Provider Business Practice Location Address Fax Number:
718-499-6594
Provider Enumeration Date:
06/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BEDEWI
Authorized Official First Name:
MOHAMED
Authorized Official Middle Name:
H
Authorized Official Title or Position:
MANAGING EMPLOYEE
Authorized Official Telephone Number:
718-499-6590

Provider Taxonomy Codes

  • Taxonomy code: 208VP0000X , 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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