Provider Demographics
NPI:1528202058
Name:MANHATTAN TOTAL HEALTH AND GENERAL MEDICINE, PC
Entity Type:Organization
Organization Name:MANHATTAN TOTAL HEALTH AND GENERAL MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-906-9062
Mailing Address - Street 1:22 E 49TH ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1025
Mailing Address - Country:US
Mailing Address - Phone:212-832-9127
Mailing Address - Fax:212-832-4673
Practice Address - Street 1:22 E 49TH ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1025
Practice Address - Country:US
Practice Address - Phone:212-832-9127
Practice Address - Fax:212-832-4673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty