Provider Demographics
NPI:1467651760
Name:MIDTOWN HEALTH OFFICES
Entity Type:Organization
Organization Name:MIDTOWN HEALTH OFFICES
Other - Org Name:MIDTOWN THERAPY & HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SABO
Authorized Official - Suffix:
Authorized Official - Credentials:PA, CA
Authorized Official - Phone:212-216-9060
Mailing Address - Street 1:225 W 35TH ST
Mailing Address - Street 2:2ND FL R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-1904
Mailing Address - Country:US
Mailing Address - Phone:212-216-9060
Mailing Address - Fax:212-695-1865
Practice Address - Street 1:225 W 35TH ST
Practice Address - Street 2:2ND FL R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-1904
Practice Address - Country:US
Practice Address - Phone:212-216-9060
Practice Address - Fax:212-695-1865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX4192111N00000X
NY62-021224225100000X
NY27-006700225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYSM997329OtherGUARDIAN
NYMHE4501OtherBLUE CROSS BLUE SHIELD
NYWM991469OtherGHI
NYMHE4501OtherBLUE CROSS BLUE SHIELD