MEDICARE: CENTER FOR SPECIALTY CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	7002133R	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205836830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR SPECIALTY CARE INC

Provider Business Mailing Address
First Line	:	50 E 69TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-5016
Country	:	US
Telephone Number	:	212-249-8000
Fax Number	:	212-249-7300

Provider Business Practice Location Address
First Line	:	50 E 69TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-5016
Country	:	US
Telephone Number	:	212-249-8000
Fax Number	:	212-249-7300

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MR. JAMES W SMITH
Credential	:	MD
Telephone Number	:	212-452-5177

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	08/22/2020

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Directions to “CENTER FOR SPECIALTY CARE INC ” Practice Location

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