Provider Demographics
NPI:1558621698
Name:MANHATTAN VETERANS AFFAIRS
Entity Type:Organization
Organization Name:MANHATTAN VETERANS AFFAIRS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARAUDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-686-7500
Mailing Address - Street 1:91 CENTRAL PARK W
Mailing Address - Street 2:APT. 3F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4609
Mailing Address - Country:US
Mailing Address - Phone:212-686-7500
Mailing Address - Fax:
Practice Address - Street 1:91 CENTRAL PARK W
Practice Address - Street 2:APT.3F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4609
Practice Address - Country:US
Practice Address - Phone:212-686-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VETERANS ADMINISTRATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY382854-1282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access