Provider Demographics
NPI:1023535424
Name:SMC MANHATTAN HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:SMC MANHATTAN HEALTH CENTER, INC.
Other - Org Name:LOTUS HEALTH AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGENT TARIQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-665-5992
Mailing Address - Street 1:512 W 126TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-2406
Mailing Address - Country:US
Mailing Address - Phone:212-665-5992
Mailing Address - Fax:212-280-1767
Practice Address - Street 1:512 W 126TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027
Practice Address - Country:US
Practice Address - Phone:212-665-5992
Practice Address - Fax:212-280-1767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-25
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service