Provider Demographics
NPI:1598193757
Name:CMP MEDICAL OFFICES PLLC
Entity Type:Organization
Organization Name:CMP MEDICAL OFFICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CMP MEDICAL OFFICES PL
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:C
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-439-9800
Mailing Address - Street 1:799 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3275
Mailing Address - Country:US
Mailing Address - Phone:212-439-9800
Mailing Address - Fax:212-439-9807
Practice Address - Street 1:799 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3275
Practice Address - Country:US
Practice Address - Phone:212-439-9800
Practice Address - Fax:212-439-9807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-28
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188902261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care