MEDICARE: THE NEW CITY MEDICAL CENTER INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	251B00000X	Case Management Agency
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1437181708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NEW CITY MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	4118 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4107
Country	:	US
Telephone Number	:	305-824-8787
Fax Number	:

Provider Business Practice Location Address
First Line	:	4118 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4107
Country	:	US
Telephone Number	:	305-824-8787
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DANIA FARIGOLA
Credential	:	LMHC
Telephone Number	:	305-824-8787

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	10/02/2020

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Directions to “THE NEW CITY MEDICAL CENTER INC ” Practice Location

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