MEDICARE: CMG MANAGEMENT SOLUTIONS CORP

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	251K00000X	Public Health or Welfare Agency	430113	NY

General Provider Information

NPI Number	:	1497241061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CMG MANAGEMENT SOLUTIONS CORP

Provider Business Mailing Address
First Line	:	159 MURRAY DR
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-5723
Country	:	US
Telephone Number	:	516-313-8095
Fax Number	:

Provider Business Practice Location Address
First Line	:	2463 LONG BEACH RD
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-1362
Country	:	US
Telephone Number	:	516-313-8095
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CAROL MICHELLE GILBERT
Credential	:	CLRS
Telephone Number	:	516-313-8095

Provider Enumeration Date	:	07/07/2018
Last Update Date	:	07/07/2018

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