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
—
—
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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