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FAMILY MEDICAL GROUP OF MANHATTAN PC NPI 1972661627


NPI Information

NPI: 1972661627
Provider Name: FAMILY MEDICAL GROUP OF MANHATTAN PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
22 W 15TH ST
NEW YORK, NY
ZIP 10011
Phone: (212) 366-9112
Get Directions

FAMILY MEDICAL GROUP OF MANHATTAN PC is a family medicine in New York, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICAL GROUP OF MANHATTAN PC NPI is 1972661627. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22 W 15TH ST
NEW YORK, NY
ZIP 10011-842
Phone: (212) 366-9112
Fax: (212) 206-7719

The provider's authorized official is Gary Edwin Leeds .
The authorized official title is President and has the following contact phone number (212) 366-9112.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 4/23/2012.


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
1207Q00000XFamily MedicineYes

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
1H59331MEDICARE ID-TYPE UNSPECIFIEDNEW YORKDR. MOITRI C. SAVARD
2C06871MEDICARE UPINNEW YORK
3RG022A2310MEDICARE ID-TYPE UNSPECIFIEDNEW YORKDR. RICHARD GOLDBERG
4H59331MEDICARE UPINNEW YORK
5GL081A8110MEDICARE ID-TYPE UNSPECIFIEDNEW YORKDR. GARY LEEDS
6B19422MEDICARE UPINNEW 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

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