Healthcare Provider Details

I. General information

NPI: 1417076233
Provider Name (Legal Business Name): NYHTC & HANYC HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 MORNINGSIDE AVE
NEW YORK NY
10027
US

IV. Provider business mailing address

305 W 44TH ST
NEW YORK NY
10036-5402
US

V. Phone/Fax

Practice location:
  • Phone: 212-923-2525
  • Fax: 212-222-6397
Mailing address:
  • Phone: 212-586-6400
  • Fax: 212-581-3984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT H GREENSPAN
Title or Position: CHIEF MEDICAL OFFICER
Credential: M.D.
Phone: 212-586-6400