Provider Demographics
NPI:1043639834
Name:DOWNTOWN NYC MEDICAL PC
Entity Type:Organization
Organization Name:DOWNTOWN NYC MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAZELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-962-2262
Mailing Address - Street 1:130 WILLIAM ST
Mailing Address - Street 2:SUITE 904
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-3806
Mailing Address - Country:US
Mailing Address - Phone:212-962-2262
Mailing Address - Fax:212-962-7472
Practice Address - Street 1:130 WILLIAM ST
Practice Address - Street 2:SUITE 904
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3806
Practice Address - Country:US
Practice Address - Phone:212-962-2262
Practice Address - Fax:212-962-7472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252279208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty