Provider Demographics
NPI:1205258076
Name:MANHATTAN ALLIED NETWORK CORPORATION
Entity type:Organization
Organization Name:MANHATTAN ALLIED NETWORK CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:RAMIREZ
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-348-9595
Mailing Address - Street 1:41 MADISON AVE STE 2544
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2202
Mailing Address - Country:US
Mailing Address - Phone:646-202-2581
Mailing Address - Fax:646-202-2582
Practice Address - Street 1:41 MADISON AVE STE 2544
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2202
Practice Address - Country:US
Practice Address - Phone:646-202-2581
Practice Address - Fax:646-202-2582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-14
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253Z00000X, 261QP2000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy