Provider Demographics
NPI:1639697162
Name:HOURGLASS MEDICAL SERVICES , PC
Entity Type:Organization
Organization Name:HOURGLASS MEDICAL SERVICES , PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-287-1000
Mailing Address - Street 1:4287 KATONAH AVE # 295
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-2122
Mailing Address - Country:US
Mailing Address - Phone:718-287-1000
Mailing Address - Fax:
Practice Address - Street 1:4310 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-3102
Practice Address - Country:US
Practice Address - Phone:718-287-1000
Practice Address - Fax:718-287-1000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-05
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty