Provider Demographics
NPI:1689670796
Name:NEW YORK PHYSICIANS LLP
Entity Type:Organization
Organization Name:NEW YORK PHYSICIANS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-857-4522
Mailing Address - Street 1:635 MADISON AVE
Mailing Address - Street 2:FL 7
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1009
Mailing Address - Country:US
Mailing Address - Phone:212-857-4522
Mailing Address - Fax:212-207-3346
Practice Address - Street 1:635 MADISON AVE
Practice Address - Street 2:FL 7
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1009
Practice Address - Country:US
Practice Address - Phone:212-857-4522
Practice Address - Fax:212-207-3346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103739207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW3414Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER