Provider Demographics
NPI:1508239138
Name:MIDTOWN EAST FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:MIDTOWN EAST FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY MEDICINE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTRAGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-988-8459
Mailing Address - Street 1:115 E 57TH ST
Mailing Address - Street 2:1460
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2049
Mailing Address - Country:US
Mailing Address - Phone:212-988-8459
Mailing Address - Fax:212-988-8461
Practice Address - Street 1:115 E 57TH ST
Practice Address - Street 2:1460
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2049
Practice Address - Country:US
Practice Address - Phone:212-988-8459
Practice Address - Fax:212-988-8461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205693207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty