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General NPI Number Information
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NPI Number | 1013900315
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Entity Type | Organization
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Legal Business Name | UNION HEALTH CENTER
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 275 7TH AVE 4TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10001-6708
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Country | US
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Telephone | 212-812-3115
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27706
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City | NEWARK
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State | NJ
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Zip | 07101-7706
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Country | US
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Telephone | 212-812-3551
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Fax |
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Authorized Official
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Title or Position | CEO/CHIEF MEDICAL OFFICER
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Name | HARRIS K. LAMPERT
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Credential | M.D.
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Telephone | 212-812-3548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 218665
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 142913
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License Number State | NY
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