Basic Information
| Provider Information | |||||||||
| NPI: | 1154623627 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MANHATTAN MEDICAL SUITE, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 95 UNIVERSITY PL | ||||||||
| Address2: | 8TH FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100034583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2126041300 | ||||||||
| FaxNumber: | 2126041399 | ||||||||
| Practice Location | |||||||||
| Address1: | 95 UNIVERSITY PL | ||||||||
| Address2: | 8TH FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100034583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2126041300 | ||||||||
| FaxNumber: | 2126041399 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2010 | ||||||||
| LastUpdateDate: | 12/03/2010 | ||||||||
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| AuthorizedOfficialLastName: | HOSNY | ||||||||
| AuthorizedOfficialFirstName: | AMR | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2126041300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD, MBA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No ID Information.