MEDICARE: CHS NY MEDICAL, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1800X	Corporate Health Clinic/Center

General Provider Information

NPI Number	:	1063833317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHS NY MEDICAL, P.C.

Provider Business Mailing Address
First Line	:	500 GRANT ST
Second Line	:	SUITE 151-2010
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-2502
Country	:	US
Telephone Number	:	412-234-4500
Fax Number	:	412-234-5500

Provider Business Practice Location Address
First Line	:	500 GRANT ST
Second Line	:	SUITE 151-2010
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-2502
Country	:	US
Telephone Number	:	412-234-4500
Fax Number	:	412-234-5500

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	NIKKEE FINLEY
Credential	:
Telephone Number	:	843-769-7633

Provider Enumeration Date	:	01/03/2014
Last Update Date	:	01/03/2014

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