Provider Type Icon

AGELESS MEN'S HEALTH NPI 1760749634


NPI Information

NPI: 1760749634
Provider Name: AGELESS MEN'S HEALTH
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
65 BROADWAY STE 1804
NEW YORK, NY
ZIP 10006
Phone: (212) 430-6677
Get Directions

AGELESS MEN'S HEALTH is a clinic center in New York, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AGELESS MEN'S HEALTH NPI is 1760749634. The provider is registered as an organization entity type.

The provider's business location address is:

65 BROADWAY STE 1804
NEW YORK, NY
ZIP 10006-560
Phone: (212) 430-6677
Fax: (212) 430-6678

The provider's authorized official is Teah Michelle Smith .
The authorized official title is Credentialing Manager and has the following contact phone number (901) 205-3999.

The enumeration date for this NPI number is 4/17/2012 and was last updated on 11/13/2023.


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
1261Q00000XClinic/Center22 634573NEW YORKYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.