Healthcare Provider Details

I. General information

NPI: 1639904824
Provider Name (Legal Business Name): NEW YORK HEALTHCARE MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 FULTON ST
BROOKLYN NY
11238-2613
US

IV. Provider business mailing address

224 W 35TH ST STE 500
NEW YORK NY
10001-2538
US

V. Phone/Fax

Practice location:
  • Phone: 646-980-5605
  • Fax:
Mailing address:
  • Phone: 646-980-5605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code246XC2903X
TaxonomyVascular Specialist/Technologist Cardiovascular
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER A MORRISON
Title or Position: OWNER
Credential: MD
Phone: 727-644-3038