MEDICARE: HEALTH INSURANCE PLAN OF GREATER NY

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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1629041488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH INSURANCE PLAN OF GREATER NY

Provider Business Mailing Address
First Line	:	4325 HUNTER ST
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-4212
Country	:	US
Telephone Number	:	718-786-6376
Fax Number	:

Provider Business Practice Location Address
First Line	:	4325 HUNTER ST
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-4212
Country	:	US
Telephone Number	:	718-786-6376
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	MR. MARC WOLFERT
Credential	:
Telephone Number	:	718-269-1627

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	08/22/2020

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