Provider Demographics
NPI:1255669065
Name:GOTHAM CITY MEDICAL BILING SERVICESS LLC
Entity Type:Organization
Organization Name:GOTHAM CITY MEDICAL BILING SERVICESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:646-789-3456
Mailing Address - Street 1:150-L GREAVES LANE
Mailing Address - Street 2:SUITE 360
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308
Mailing Address - Country:US
Mailing Address - Phone:646-789-3456
Mailing Address - Fax:888-603-9061
Practice Address - Street 1:150 GREAVES LN STE L
Practice Address - Street 2:SUITE 360
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-2173
Practice Address - Country:US
Practice Address - Phone:646-789-3456
Practice Address - Fax:888-603-9061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage