Healthcare Provider Details

I. General information

NPI: 1154623627
Provider Name (Legal Business Name): MANHATTAN MEDICAL SUITE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2010
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 UNIVERSITY PL 8TH FLOOR
NEW YORK NY
10003-4583
US

IV. Provider business mailing address

41 5TH AVE STE 1AB
NEW YORK NY
10003-4319
US

V. Phone/Fax

Practice location:
  • Phone: 212-604-1300
  • Fax: 212-604-1399
Mailing address:
  • Phone: 212-604-1300
  • Fax: 212-604-1399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMR HOSNY
Title or Position: PRESIDENT
Credential: MD, MBA
Phone: 212-604-1300