# GREENWICH STREET MEDICAL SERVICES OF NEW YORK PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477325413
- **Authorized official:** JOHONNIUSS CHEMWENO (TPA CEO)
- **Authorized official phone:** (212) 261-6542

## Contact information

- **Practice address:** 609 GREENWICH ST, NEW YORK, NY 10014-3610
- **Practice address phone:** (212) 261-6542
- **Practice address fax:** (505) 212-0553
- **Mailing address:** 609 GREENWICH ST, NEW YORK, NY 10014-3610
- **Mailing address phone:** (212) 261-6542
- **Mailing address fax:** (505) 212-0553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 10/24/2023