TRANSFORMATIVE MEDICAL HEALTH NYC PLLC


Address: 150 Broadway Rm 1115, New York, NY 10038-4375
Phone: 2122273350

TRANSFORMATIVE MEDICAL HEALTH NYC PLLC (NPI# 1679994347) 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) 1679994347
Entity Type Organization
Organization Name TRANSFORMATIVE MEDICAL HEALTH NYC PLLC
Practice Address 150 Broadway Rm 1115
New York
NY 10038-4375
Practice Telephone 2122273350
Mailing Telephone (212) 227-3350
Mailing Fax Number 8669667882
Enumeration Date 2013-12-26
Last Update Date 2017-10-10
Authorized Official Name MR. LEON SCRIMMAGER (OWNER)
Authorized Official Telephone 2122273350
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 150 BROADWAY RM 1115
City NEW YORK
State NY
Zip Code 10038-4375

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1093353575 Jacqueline Michelle Collins Speech-Language Pathologist 144-176 E 128th Street, New York, NY 10038 2019-12-16
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1023531654 Natalie Considine Counselor 75 Maiden Ln Ste 341, New York, NY 10038 2017-07-25
1801319199 Cecile Bell Registered Nurse 15 St James Place, Apt 10 I, New York, NY 10038 2017-07-19
1598206088 Jessica Moreno Registered Nurse 182 South Street Apt 8e, New York, NY 10038 2017-03-16
1801258678 Disha Vin Physical Therapist 160 Broadway East Building, New York, NY 10038 2016-03-22
1861877110 Andrew Zhu Physician Assistant 70 William Street, New York, NY 10038 2015-07-29
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City NEW YORK
Zip Code 10038

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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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