Provider Demographics
NPI:1417129263
Name:RHEUMATOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:RHEUMATOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:TENZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-598-6543
Mailing Address - Street 1:305 2ND AVE
Mailing Address - Street 2:SUITE 16
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2739
Mailing Address - Country:US
Mailing Address - Phone:212-598-6543
Mailing Address - Fax:212-598-6212
Practice Address - Street 1:305 2ND AVE
Practice Address - Street 2:SUITE 16
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2739
Practice Address - Country:US
Practice Address - Phone:212-598-6543
Practice Address - Fax:212-598-6212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215150-1207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty