RED ROAD MEDICAL PC NPI 1649850629

NPI Information

NPI: 1649850629
Provider Name: RED ROAD MEDICAL PC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
317 W 54TH ST APT D
NEW YORK, NY
ZIP 10019
Phone: (212) 787-1877
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RED ROAD MEDICAL PC is a family nurse practitioner in New York, NY. RED ROAD MEDICAL PC NPI is 1649850629. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

317 W 54TH ST APT D
NEW YORK, NY
ZIP 10019-504
Phone: (212) 787-1877

The provider's authorized official is Kellie Carey .
The authorized official title is Manager and has the following contact phone number (516) 729-8606.

The enumeration date for this NPI number is 4/13/2021 and was last updated on 4/15/2021.

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	363LF0000X	Nurse Practitioner	Family			Yes

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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