Provider Demographics
NPI:1356741748
Name:MOBILE HEALTH MEDICAL SERVICES PC
Entity type:Organization
Organization Name:MOBILE HEALTH MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SHULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-625-3003
Mailing Address - Street 1:229 W 36TH ST
Mailing Address - Street 2:9TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7529
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:229 W 36TH ST
Practice Address - Street 2:9TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7529
Practice Address - Country:US
Practice Address - Phone:212-695-5122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine