Provider Demographics
NPI:1659078939
Name:THRUWAY MEDICAL SERVICES OF NEW YORK
Entity Type:Organization
Organization Name:THRUWAY MEDICAL SERVICES OF NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:TIERNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:855-675-1849
Mailing Address - Street 1:228 E 45TH ST RM 9E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3337
Mailing Address - Country:US
Mailing Address - Phone:855-675-1849
Mailing Address - Fax:
Practice Address - Street 1:228 E 45TH ST RM 9E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3337
Practice Address - Country:US
Practice Address - Phone:855-675-1849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty