Healthcare Provider Details

I. General information

NPI: 1467651760
Provider Name (Legal Business Name): MIDTOWN HEALTH OFFICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W 35TH ST 2ND FL R
NEW YORK NY
10001-1904
US

IV. Provider business mailing address

225 W 35TH ST 2ND FL R
NEW YORK NY
10001-1904
US

V. Phone/Fax

Practice location:
  • Phone: 212-216-9060
  • Fax: 212-695-1865
Mailing address:
  • Phone: 212-216-9060
  • Fax: 212-695-1865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX4192
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number27-006700
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number62-021224
License Number StateNY

VIII. Authorized Official

Name: MS. MARCIA SABO
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential: P.A., CA
Phone: 212-216-9060