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EASTSIDE MEDICAL OFFICE PC NPI 1215095930


NPI Information

NPI: 1215095930
Provider Name: EASTSIDE MEDICAL OFFICE , PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
58 E 116TH ST
NEW YORK, NY
ZIP 10029
Phone: (212) 876-9700
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EASTSIDE MEDICAL OFFICE , PC is an internal medicine in New York, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EASTSIDE MEDICAL OFFICE , PC NPI is 1215095930. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

58 E 116TH ST
NEW YORK, NY
ZIP 10029-147
Phone: (212) 876-9700
Fax: (212) 876-5745

The provider's authorized official is Zaw Min Oo .
The authorized official title is President and has the following contact phone number (212) 876-9700.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 10/24/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease136246NEW YORKNo
2207RG0100XInternal MedicineGastroenterology176228NEW YORKNo
3207RN0300XInternal MedicineNephrology205570NEW YORKNo
42084P0800XPsychiatry & NeurologyPsychiatry230776NEW YORKNo
5207N00000XDermatology214914NEW YORKNo
6207R00000XInternal Medicine198749NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F81353MEDICARE UPINNEW YORK
202232575MEDICAIDNEW YORK
311U793MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
4807821MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
502678706MEDICAIDNEW YORK
6B11985MEDICARE UPINNEW YORK
7G09904MEDICARE UPINNEW YORK
826F443MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
9467BY1MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
1001369795MEDICAIDNEW YORK
1101616673MEDICAIDNEW YORK
12H10012MEDICARE UPINNEW YORK
1301843681MEDICAIDNEW YORK
14I22971MEDICARE UPINNEW YORK
1542J041MEDICARE ID-TYPE UNSPECIFIEDNEW 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: 11/14/2023

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