Organization
FPA HOSPITAL BASED
Active
Other names
FPA Hospital Based MSMC Emergency Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD NAGENGAST (VICE PRESIDENT CBO BILLING)
(646) 605-8112
Entity
Organization
Contact information
Practice address
100TH ST AND MADISON AVE, NEW YORK, NY 10029-6503
(212) 824-8055
Mailing address
PO BOX 5024, NEW YORK, NY 10087-5024
(212) 824-8055
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03678044
—
NY
Enumeration date
02/26/2013
Last updated
05/20/2019
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