Provider Demographics
NPI:1780950816
Name:THE MANHATTAN CENTER FOR GYNECOLOGY
Entity type:Organization
Organization Name:THE MANHATTAN CENTER FOR GYNECOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-308-4988
Mailing Address - Street 1:144 E 44TH ST STE 225
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-4008
Mailing Address - Country:US
Mailing Address - Phone:212-308-4988
Mailing Address - Fax:212-813-2167
Practice Address - Street 1:144 E 44TH ST STE 225
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4008
Practice Address - Country:US
Practice Address - Phone:212-308-4988
Practice Address - Fax:212-813-2167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty