Provider Demographics
NPI:1952528796
Name:MEDICAL OFFICE OF MANHATTAN PLLC
Entity Type:Organization
Organization Name:MEDICAL OFFICE OF MANHATTAN PLLC
Other - Org Name:MANHATTAN CARDIOVASCULAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:SEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-637-4567
Mailing Address - Street 1:211 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6526
Mailing Address - Country:US
Mailing Address - Phone:212-906-7798
Mailing Address - Fax:212-355-1052
Practice Address - Street 1:211 E 51ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-6526
Practice Address - Country:US
Practice Address - Phone:212-906-7798
Practice Address - Fax:212-355-1052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215309207RC0000X
207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty