Organization
CMORS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYLVIA LINSALATO (CREDENTIALING MANAGER)
(718) 367-8800
Entity
Organization
Contact information
Practice address
3235 GRAND CONCOURSE, SUITE-BASEMENT, BRONX, NY 10468-1138
(718) 367-8800
(718) 367-4047
Mailing address
3235 GRAND CONCOURSE, SUITE-BASEMENT, BRONX, NY 10468-1138
(718) 367-8800
(718) 367-4047
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
210513
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021579
LICENSE #
NY
01
—
028117
LICENSE NUMBER
NY
01
—
210513
LICENSE NUMBER
NY
Enumeration date
04/11/2006
Last updated
08/22/2020
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