Provider Demographics
NPI:1376128090
Name:CLEARMD
Entity Type:Organization
Organization Name:CLEARMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD MS
Authorized Official - Phone:646-249-1246
Mailing Address - Street 1:32 AVENUE OF THE AMERICAS FL 20B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2473
Mailing Address - Country:US
Mailing Address - Phone:773-387-8451
Mailing Address - Fax:
Practice Address - Street 1:734 BROADWAY APT 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9552
Practice Address - Country:US
Practice Address - Phone:646-249-9333
Practice Address - Fax:646-692-4024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty