MEDICARE: NORTHERN MANHATTAN PERINATAL PARTNERSHIP, INC.

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1245467810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN MANHATTAN PERINATAL PARTNERSHIP, INC.

Provider Business Mailing Address
First Line	:	127 W 127TH ST
Second Line	:	ROOM 303
City	:	NEW YORK
State	:	NY
Zip	:	10027-3723
Country	:	US
Telephone Number	:	347-489-4769
Fax Number	:	212-665-0495

Provider Business Practice Location Address
First Line	:	127 W 127TH ST
Second Line	:	ROOM 303
City	:	NEW YORK
State	:	NY
Zip	:	10027-3723
Country	:	US
Telephone Number	:	347-489-4769
Fax Number	:	212-665-0495

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. MARIO JOSEPH DRUMMONDS
Credential	:	MS, LCSW
Telephone Number	:	347-489-4769

Provider Enumeration Date	:	06/22/2009
Last Update Date	:	06/22/2009

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