MEDALLIANCE MEDICAL HEALTH SERVICES NPI 1982243887

NPI Information

MEDALLIANCE MEDICAL HEALTH SERVICES is a multi-specialty clinic center in New York, NY. MEDALLIANCE MEDICAL HEALTH SERVICES NPI is 1982243887. The provider is registered as an organization entity type.

The provider's business location address is:

5041 BROADWAY
NEW YORK, NY
ZIP 10034-131
Phone: (646) 869-2144
Fax: (646) 869-4955

The provider's authorized official is Marisol Bravo .
The authorized official title is Admin Assistant/ Credentialing and has the following contact phone number (718) 933-1900.

The CLIA number assigned to this NPI record is 33D2151486 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2019 and was last updated on 12/26/2019.

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:

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