Healthcare Provider Details

I. General information

NPI: 1154107191
Provider Name (Legal Business Name): MANHATTAN MEDICAL ONCOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2023
Last Update Date: 09/06/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 E 32ND ST FL 2
NEW YORK NY
10016-6028
US

IV. Provider business mailing address

157 E 32ND ST FL 2
NEW YORK NY
10016-6028
US

V. Phone/Fax

Practice location:
  • Phone: 126-896-7912
  • Fax: 646-429-1229
Mailing address:
  • Phone: 212-689-6791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEC GOLDENBERG
Title or Position: PRESIDENT
Credential: MD
Phone: 212-689-6791