S&G MEDICAL OFFICE, PC (NPI# 1699900332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699900332 |
| Entity Type | Organization |
| Organization Name | S&G MEDICAL OFFICE, PC |
| Practice Address |
39 East Broadway Suite 603 New York NY 10002 |
| Practice Telephone | 2122332078 |
| Practice Fax Number | 2122332079 |
| Mailing Telephone | 2122332078 |
| Mailing Fax Number | 2122332079 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Authorized Official Name | MIN SONG (PRESIDENT) |
| Authorized Official Telephone | 2122332078 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 214737 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01991455 | 05 |
| Street Address |
39 EAST BROADWAY SUITE 603 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776507 | Betances Health Center | Dietitian, Registered | 280 Henry Street, New York, NY 10002 | 2020-07-06 |
| 1558996041 | John X Wang Acupuncture PC | Acupuncturist | 27 East Broadway, 6fl, New York, NY 10002 | 2020-03-05 |
| 1962044776 | Min Lin | Student in an Organized Health Care Education/Training Program | 44-46 Market St Apt 6a, New York, NY 10002 | 2019-10-14 |
| 1184274540 | Brittany Irby | Community Health Worker | 189 Eldridge Street, New York, NY 10002 | 2019-09-18 |
| 1528558616 | Center for All Abilities, Inc. | Music Therapist | 136 Henry Street, New York, NY 10002 | 2018-05-14 |
| 1811490501 | Haishuang Huang | Health Educator | 87 Bowery, Fl 1, New York, NY 10002 | 2018-03-09 |
| 1174031546 | Vanessa Lisa Cruz | Specialist | 211 Eldridge Street, 3d, New York, NY 10002 | 2018-01-18 |
| 1295243889 | Robert Shum | Peer Specialist | 275 Cherry Street Apt.7a, New York, NY 10002 | 2018-01-17 |
| 1184147449 | Brooklyn Spine and Sports Medicine P.C. | Physical Medicine & Rehabilitation | 415 Grand New York Street, Apt E1707, New York, NY 10002 | 2017-07-19 |
| 1548780893 | Sana Khan | Student in an Organized Health Care Education/Training Program | 90 Rivington St, New York, NY 10002 | 2017-06-27 |
| Find all providers in zip 10002 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1689136137 | Michael Gordon | General Practice | 750 Columbus Ave Apt 6a, New York, NY 10025-6477 | 2019-04-03 |
| 1538651385 | Caroline Roberta Campbell | General Practice | 129 W 81st St Apt 3, New York, NY 10024-7207 | 2018-06-06 |
| 1104317973 | Michael Stavis Bohl | General Practice | 235 W 48th St Apt 34a, New York, NY 10036-1431 | 2018-05-28 |
| 1841793015 | Xin He | General Practice | 60 W 75th St Lowr Level, New York, NY 10023-2016 | 2018-03-14 |
| 1811497381 | James Uhrig | General Practice | 316 W 84th St Apt 6g, New York, NY 10024-4249 | 2018-02-20 |
| 1730607391 | Ruben Osvaldo Garcia | General Practice | 400 E 52nd St Apt 12j, New York, NY 10022-6407 | 2017-09-05 |
| 1992231294 | Paul Promadhattvedi | General Practice | 255 Fort Washington Ave Apt 41, New York, NY 10032-1252 | 2017-05-04 |
| 1407381486 | Taber Cloey Lightbourne | General Practice | 1051 Riverside Drive, Box 103, New York, NY 10032 | 2017-04-27 |
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| 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.