GRAMAERCY PARK MEDICAL GROUP


Address: 253 3rd Ave # 55, New York, NY 10010-7401
Phone: 2124751900

GRAMAERCY PARK MEDICAL GROUP (NPI# 1396843967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396843967
Entity Type Organization
Organization Name GRAMAERCY PARK MEDICAL GROUP
Practice Address 253 3rd Ave # 55
New York
NY 10010-7401
Mailing Address 253 3rd Ave
New York
NY 10010-7401
Practice Telephone 2124751900
Enumeration Date 2006-09-20
Last Update Date 2020-08-22
Authorized Official Name FELICITAS AMADOR (MEDICAL DIRECTOR)
Authorized Official Telephone 2124751900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Office Location

Street Address 253 3RD AVE # 55
City NEW YORK
State NY
Zip Code 10010-7401

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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

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1427348804 Massimo Degiarde, Mdpc Clinic/Center 233 Lafayette St, New York, NY 10012-4051 2011-04-19
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Competitor

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City NEW YORK
Zip Code 10010

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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