Healthcare Provider Details

I. General information

NPI: 1225344583
Provider Name (Legal Business Name): UPTOWN HEALTHCARE MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2010
Last Update Date: 08/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 EAST TREMONT AVENUE
BRONX NY
10460
US

IV. Provider business mailing address

930 EAST TREMONT AVENUE
BRONX NY
10460
US

V. Phone/Fax

Practice location:
  • Phone: 718-764-1662
  • Fax: 646-224-1320
Mailing address:
  • Phone: 718-764-1662
  • Fax: 646-224-1320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number122598
License Number StateNY

VIII. Authorized Official

Name: DAH AHMED
Title or Position: DIRECTOR OF ADMINISTRATION
Credential:
Phone: 718-764-1661