Healthcare Provider Details

I. General information

NPI: 1497241061
Provider Name (Legal Business Name): CMG MANAGEMENT SOLUTIONS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2018
Last Update Date: 07/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2463 LONG BEACH RD
OCEANSIDE NY
11572-1362
US

IV. Provider business mailing address

159 MURRAY DR
OCEANSIDE NY
11572-5723
US

V. Phone/Fax

Practice location:
  • Phone: 516-313-8095
  • Fax:
Mailing address:
  • Phone: 516-313-8095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number430113
License Number StateNY

VIII. Authorized Official

Name: CAROL MICHELLE GILBERT
Title or Position: PRESIDENT
Credential: CLRS
Phone: 516-313-8095