Healthcare Provider Details

I. General information

NPI: 1932388170
Provider Name (Legal Business Name): HSS MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 10/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 E 70TH ST
NEW YORK NY
10021-4872
US

IV. Provider business mailing address

535 E 70TH ST
NEW YORK NY
10021-4872
US

V. Phone/Fax

Practice location:
  • Phone: 212-774-2507
  • Fax: 212-774-2958
Mailing address:
  • Phone: 212-774-2507
  • Fax: 212-774-2958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number StateNY

VIII. Authorized Official

Name: DR. THEODORE FIELDS
Title or Position: ASSISTANT DIRECTOR/RHEUMATOLOGY
Credential: MD
Phone: 212-774-2507