MEDICARE: EMOTE MEDICAL SERVICES 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
1	261QM1300X	Multi-Specialty Clinic/Center	252989	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1902260615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMOTE MEDICAL SERVICES PC

Provider Business Mailing Address
First Line	:	100 PARK AVE RM 1600
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-5538
Country	:	US
Telephone Number	:	347-278-3247
Fax Number	:	212-880-6499

Provider Business Practice Location Address
First Line	:	100 PARK AVE RM 1600
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-5538
Country	:	US
Telephone Number	:	347-278-3247
Fax Number	:	212-880-6499

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. SANGEET KHANNA
Credential	:	M.D
Telephone Number	:	347-278-3247

Provider Enumeration Date	:	04/08/2016
Last Update Date	:	04/08/2016

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