Provider Demographics
NPI:1548429152
Name:GRAMERCY PARK PHYSICAL MEDICINE AND REHABILITATION PC
Entity Type:Organization
Organization Name:GRAMERCY PARK PHYSICAL MEDICINE AND REHABILITATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAVEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-254-7588
Mailing Address - Street 1:7 GRAMERCY PARK W STE 1A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1759
Mailing Address - Country:US
Mailing Address - Phone:212-254-7588
Mailing Address - Fax:
Practice Address - Street 1:7 GRAMERCY PARK W STE 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-1759
Practice Address - Country:US
Practice Address - Phone:212-254-7588
Practice Address - Fax:212-677-0447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163001208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty