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NPI Code Detail

MEDICARE: MEDICAL OFFICE OF MANHATTAN PLLC

MEDICARE: MEDICAL OFFICE OF MANHATTAN PLLC
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
1207RC0000XCardiovascular Disease Physician
2207RC0000XCardiovascular Disease Physician215309NY

General Provider Information

NPI Number : 1952528796
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL OFFICE OF MANHATTAN PLLC
Provider Business Mailing Address
First Line : 211 E 51ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10022-6526
Country : US
Telephone Number : 212-906-7798
Fax Number : 212-355-1052
Provider Business Practice Location Address
First Line : 211 E 51ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10022-6526
Country : US
Telephone Number : 212-906-7798
Fax Number : 212-355-1052
Authorized Official
Title or Position : OWNER
Name : ROBERT RAFAEL SEGAL
Credential : MD
Telephone Number : 646-637-4567
Provider Enumeration Date : 04/20/2007
Last Update Date : 06/13/2023

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