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NPI Code Detail

MEDICARE: NES MEDICAL SERVICES OF NEW YORK PC

MEDICARE: NES MEDICAL SERVICES OF NEW YORK PC
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
1207P00000XEmergency Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CL0022OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3W21801OTHERNYGROUP BCBS #

General Provider Information

NPI Number : 1538141791
Entity Type Code : Organization
Provider Name (Legal Business Name) : NES MEDICAL SERVICES OF NEW YORK PC
Provider Business Mailing Address
First Line : PO BOX 409041
Second Line :
City : ATLANTA
State : GA
Zip : 30384-9041
Country : US
Telephone Number : 800-377-8721
Fax Number : 304-697-1155
Provider Business Practice Location Address
First Line : 455 E BAY DR
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-2301
Country : US
Telephone Number : 516-897-1100
Fax Number :
Authorized Official
Title or Position : CHAIRMAN AND CEO
Name : ALLAN H. RAPPAPORT
Credential :
Telephone Number : 415-435-4591
Provider Enumeration Date : 11/15/2005
Last Update Date : 05/21/2013

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Directions to “NES MEDICAL SERVICES OF NEW YORK PC ” Practice Location

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