Provider Demographics
NPI:1083791016
Name:REMOLINA, ATHENA M (DO)
Entity Type:Individual
Prefix:DR
First Name:ATHENA
Middle Name:M
Last Name:REMOLINA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 GREENWICH ST
Mailing Address - Street 2:#5
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2057
Mailing Address - Country:US
Mailing Address - Phone:212-966-3199
Mailing Address - Fax:
Practice Address - Street 1:405 GREENWICH ST
Practice Address - Street 2:#5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2057
Practice Address - Country:US
Practice Address - Phone:212-966-3199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211709207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05S301Medicare PIN
H28338Medicare UPIN