Provider Demographics
NPI:1649473471
Name:CMC OCCUPATIONAL HEALTH SERVICES, PC
Entity type:Organization
Organization Name:CMC OCCUPATIONAL HEALTH SERVICES, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP AND CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:VITO
Authorized Official - Middle Name:L
Authorized Official - Last Name:RECINIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-656-5344
Mailing Address - Street 1:BUILDING 198
Mailing Address - Street 2:JFK INTERNATIONAL AIRPORT
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11430
Mailing Address - Country:US
Mailing Address - Phone:718-656-5344
Mailing Address - Fax:718-917-8860
Practice Address - Street 1:BUILDING 198
Practice Address - Street 2:JFK INTERNATIONAL AIRPORT
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11430
Practice Address - Country:US
Practice Address - Phone:718-656-5344
Practice Address - Fax:718-917-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty