Provider Demographics
NPI:1922388933
Name:NYC MEDICAL, P.C.
Entity Type:Organization
Organization Name:NYC MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARMOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-417-9081
Mailing Address - Street 1:1903 UTICA AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3213
Mailing Address - Country:US
Mailing Address - Phone:347-417-9081
Mailing Address - Fax:718-732-2434
Practice Address - Street 1:305 E 55TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4148
Practice Address - Country:US
Practice Address - Phone:347-417-9081
Practice Address - Fax:718-732-2434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty