Provider Demographics
NPI:1518730266
Name:MANHATTAN PRIMARY CARE PLLC
Entity Type:Organization
Organization Name:MANHATTAN PRIMARY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEELIMA
Authorized Official - Middle Name:C
Authorized Official - Last Name:TANGIRALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH
Authorized Official - Phone:732-890-5131
Mailing Address - Street 1:315 W 57TH ST STE 304
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3148
Mailing Address - Country:US
Mailing Address - Phone:212-755-0285
Mailing Address - Fax:
Practice Address - Street 1:315 W 57TH ST STE 304
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3148
Practice Address - Country:US
Practice Address - Phone:212-755-0285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty