VILLAGE DIAGNOSTIC AND TREATMENT CENTER NPI 1457424863

NPI Information

NPI: 1457424863
Provider Name: VILLAGE DIAGNOSTIC AND TREATMENT CENTER

Doing Business As: VILLAGE CARE HEALTH CENTER

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
121A W 20TH ST
NEW YORK, NY
ZIP 10011
Phone: (212) 337-9293
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VILLAGE DIAGNOSTIC AND TREATMENT CENTER is a community health clinic center in New York, NY. VILLAGE DIAGNOSTIC AND TREATMENT CENTER NPI is 1457424863. The provider is registered as an organization entity type.
The provider Is Doing Business As Village Care Health Center.

The provider's business location address is:

121A W 20TH ST
NEW YORK, NY
ZIP 10011-601
Phone: (212) 337-9293
Fax: (212) 337-9275

The provider's authorized official is Emma Devito .
The authorized official title is C.e.o. and has the following contact phone number (121) 337-5600.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 6/13/2013.

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	261QC1500X	Clinic/Center	Community Health	70021B1R	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	WGW201	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE PROVIDER #
2	02743557	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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