Provider Demographics
NPI:1174275085
Name:MANHATTAN NEUROMUSCULOSKELETAL MEDICINE & OSTEOPATHY, PLLC
Entity Type:Organization
Organization Name:MANHATTAN NEUROMUSCULOSKELETAL MEDICINE & OSTEOPATHY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:OSTROW
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-635-4242
Mailing Address - Street 1:440 E 62ND ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8345
Mailing Address - Country:US
Mailing Address - Phone:212-635-4242
Mailing Address - Fax:646-767-0395
Practice Address - Street 1:440 E 62ND ST APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8345
Practice Address - Country:US
Practice Address - Phone:646-988-3431
Practice Address - Fax:646-767-0395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports MedicineGroup - Single Specialty