Provider Demographics
NPI:1396392270
Name:CMSP CITY MEDICAL SERVICE PROVIDER P.C.
Entity Type:Organization
Organization Name:CMSP CITY MEDICAL SERVICE PROVIDER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-964-9600
Mailing Address - Street 1:225 BROADWAY STE 620
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-3797
Mailing Address - Country:US
Mailing Address - Phone:212-964-9600
Mailing Address - Fax:
Practice Address - Street 1:225 BROADWAY STE 620
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3797
Practice Address - Country:US
Practice Address - Phone:212-964-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-24
Last Update Date:2019-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty