Healthcare Provider Details

I. General information

NPI: 1578114211
Provider Name (Legal Business Name): OGEE NYC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2019
Last Update Date: 09/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 W 21ST ST RM 1010
NEW YORK NY
10010-7367
US

IV. Provider business mailing address

400 W BROADWAY FL 2
NEW YORK NY
10012-4364
US

V. Phone/Fax

Practice location:
  • Phone: 917-388-3318
  • Fax:
Mailing address:
  • Phone: 347-603-2573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: RAMON PADILLA
Title or Position: PRESIDENT
Credential:
Phone: 347-603-2573