Provider Demographics
NPI:1346270535
Name:NEW MILLENNIUM COMPREHENSIVE MEDICAL HEALTH, P.C
Entity Type:Organization
Organization Name:NEW MILLENNIUM COMPREHENSIVE MEDICAL HEALTH, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:E
Authorized Official - Last Name:HALIMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-563-2966
Mailing Address - Street 1:280 RIVERSIDE DR APT 5K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-9019
Mailing Address - Country:US
Mailing Address - Phone:212-563-2966
Mailing Address - Fax:212-563-3749
Practice Address - Street 1:1270 BROADWAY RM 401
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3211
Practice Address - Country:US
Practice Address - Phone:212-563-2966
Practice Address - Fax:212-563-3749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204777225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty