Provider Demographics
NPI:1205233608
Name:TMS MEDICAL ASSOCIATES OF NEW YORK. PLLC
Entity type:Organization
Organization Name:TMS MEDICAL ASSOCIATES OF NEW YORK. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANEVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-935-1423
Mailing Address - Street 1:60 SUTTON PL S
Mailing Address - Street 2:SUITE 1CN
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:60 SUTTON PL S
Practice Address - Street 2:SUITE 1CN
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4168
Practice Address - Country:US
Practice Address - Phone:212-935-1423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health