Provider Demographics
NPI:1801243498
Name:JBH ABSOLUTE MEDICAL CARE PC
Entity type:Organization
Organization Name:JBH ABSOLUTE MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:HERRINGTON
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:347-306-8526
Mailing Address - Street 1:1 WESTCHESTER PLZ
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-1600
Mailing Address - Country:US
Mailing Address - Phone:914-517-2482
Mailing Address - Fax:
Practice Address - Street 1:1 WESTCHESTER PLZ
Practice Address - Street 2:
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523-1600
Practice Address - Country:US
Practice Address - Phone:914-517-2482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226725174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty