Provider Demographics
NPI:1659630218
Name:EXCEPTIONAL MEDICINE AND SURGERY PC
Entity Type:Organization
Organization Name:EXCEPTIONAL MEDICINE AND SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:STERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-249-4020
Mailing Address - Street 1:895 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0327
Mailing Address - Country:US
Mailing Address - Phone:212-249-4020
Mailing Address - Fax:
Practice Address - Street 1:895 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0327
Practice Address - Country:US
Practice Address - Phone:212-249-4020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical