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Organization
GREENWICH STREET MEDICAL SERVICES OF NEW YORK PC
Active
Organization
GREENWICH STREET MEDICAL SERVICES OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHONNIUSS CHEMWENO (TPA CEO)
(212) 261-6542
Entity
Organization
Contact information
Practice address
609 GREENWICH ST, NEW YORK, NY 10014-3610
(212) 261-6542
(505) 212-0553
Mailing address
609 GREENWICH ST, NEW YORK, NY 10014-3610
(212) 261-6542
(505) 212-0553
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
251E00000X
Home Health Agency
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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