MASSIMO DEGIARDE M.D.P.C. NPI 1215003629

NPI Information

NPI: 1215003629
Provider Name: MASSIMO DEGIARDE, M.D.,P.C.

Doing Business As: LAFAYETTE MEDICAL APPROACH

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
233 LAFAYETTE ST
NEW YORK, NY
ZIP 10012
Phone: (212) 431-6177
Get Directions

MASSIMO DEGIARDE, M.D.,P.C. is a rehabilitation and substance use disorder clinic center in New York, NY. MASSIMO DEGIARDE, M.D.,P.C. NPI is 1215003629. The provider is registered as an organization entity type.
The provider Is Doing Business As Lafayette Medical Approach.

The provider's business location address is:

233 LAFAYETTE ST
NEW YORK, NY
ZIP 10012-051
Phone: (212) 431-6177
Fax: (212) 966-7160

The provider's authorized official is Jennifer Hudson .
The authorized official title is Administrator and has the following contact phone number (212) 966-7193.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 12/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	070710386	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00166849	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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