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NPI Code Detail

MEDICARE: UNITED HARLEM SERVICES INC

MEDICARE: UNITED HARLEM SERVICES 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
1207RC0001XClinical Cardiac Electrophysiology Physician
2207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1831796408
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED HARLEM SERVICES INC
Provider Business Mailing Address
First Line : 9 VERNON PL APT 1
Second Line :
City : MOUNT VERNON
State : NY
Zip : 10552-2325
Country : US
Telephone Number : 646-657-8151
Fax Number :
Provider Business Practice Location Address
First Line : 116 E 125TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10035-1612
Country : US
Telephone Number : 646-657-8151
Fax Number : 607-289-3126
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : DEREK MERCER
Credential :
Telephone Number : 646-657-8151
Provider Enumeration Date : 10/06/2020
Last Update Date : 10/06/2020

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Directions to “UNITED HARLEM SERVICES INC ” Practice Location

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