Provider Demographics
NPI:1154532216
Name:BEST OF HEALTH MEDICAL PRACTICE, M.D., P.C.
Entity type:Organization
Organization Name:BEST OF HEALTH MEDICAL PRACTICE, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:OLIVER
Authorized Official - Last Name:MOONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-288-2823
Mailing Address - Street 1:331 E 71ST ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4734
Mailing Address - Country:US
Mailing Address - Phone:212-288-2823
Mailing Address - Fax:212-639-1971
Practice Address - Street 1:331 E 71ST ST STE 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4734
Practice Address - Country:US
Practice Address - Phone:212-288-2823
Practice Address - Fax:212-639-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078155-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7Q5261OtherBCBS
NY7Q5261OtherBCBS