Provider Demographics
NPI:1629393368
Name:SYNERGYFIRST MEDICAL NEW YORK PLLC
Entity Type:Organization
Organization Name:SYNERGYFIRST MEDICAL NEW YORK PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NILSSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-996-6835
Mailing Address - Street 1:1725 YORK AVE
Mailing Address - Street 2:2E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7807
Mailing Address - Country:US
Mailing Address - Phone:212-996-6835
Mailing Address - Fax:
Practice Address - Street 1:1725 YORK AVE
Practice Address - Street 2:2E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-7807
Practice Address - Country:US
Practice Address - Phone:212-996-6835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy