MEDICARE: NNMHC FPP

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	208000000X	Pediatrics Physician

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	:	1811925639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NNMHC FPP

Provider Business Mailing Address
First Line	:	1901 1ST AVE SUITE 5 SOUTH 2
Second Line	:	METROPOLITAN HOSPITAL FPP
City	:	NEW YORK
State	:	NY
Zip	:	10029-0000
Country	:	US
Telephone Number	:	212-423-7095
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 1ST AVE SUITE 5 SOUTH 2
Second Line	:	METROPOLITAN HOSPITAL FPP
City	:	NEW YORK
State	:	NY
Zip	:	10029-0000
Country	:	US
Telephone Number	:	212-423-7095
Fax Number	:

Authorized Official
Title or Position	:	DEPUTY DIRECTOR
Name	:	LINDA PALAZZOTTO
Credential	:
Telephone Number	:	212-423-7095

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	08/22/2020

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Directions to “NNMHC FPP ” Practice Location

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