Healthcare Provider Details

I. General information

NPI: 1366077760
Provider Name (Legal Business Name): CITY MOTION ORTHOPAEDICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2020
Last Update Date: 02/24/2023
Certification Date: 02/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 E 25TH ST FL 6
NEW YORK NY
10010-8207
US

IV. Provider business mailing address

99 WALL ST STE 973
NEW YORK NY
10005-4301
US

V. Phone/Fax

Practice location:
  • Phone: 212-433-2662
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. LAYLA BARAKAT
Title or Position: OFFICE ADMINISTRATOR
Credential:
Phone: 212-433-2662