Healthcare Provider Details

I. General information

NPI: 1669644837
Provider Name (Legal Business Name): UPTOWN HEALTHCARE MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 E TREMONT AVE
BRONX NY
10460-4304
US

IV. Provider business mailing address

930 E TREMONT AVE
BRONX NY
10460-4304
US

V. Phone/Fax

Practice location:
  • Phone: 718-764-1633
  • Fax: 646-224-1320
Mailing address:
  • Phone: 718-764-1633
  • Fax: 646-224-1320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

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