Organization
PAN AMERICAN MEDICAL CENTER,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD M FIELD (DIRECTOR OF STRATEGIC PLANNING)
(212) 376-1810
Entity
Organization
Contact information
Practice address
500 W 57TH ST, NEW YORK, NY 10019-2902
(212) 293-3000
(212) 293-3020
Mailing address
500 W 57TH ST, NEW YORK, NY 10019-2902
(212) 293-3000
(212) 293-3020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
7002147R
NY
133N00000X
Nutritionist
7002147R
NY
163W00000X
Registered Nurse
7002147R
NY
208D00000X
General Practice Physician
7002147R
NY
213E00000X
Podiatrist
7002147R
NY
261Q00000X
Clinic/Center
Primary
7002147R
NY
261QM0850X
Adult Mental Health Clinic/Center
7002147R
NY
261QP1100X
Podiatric Clinic/Center
7002147R
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
7002147R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01649774
—
NY
Enumeration date
05/20/2008
Last updated
09/18/2008
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