Organization
NES MEDICAL SERVICES OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN H. RAPPAPORT (CHAIRMAN AND CEO)
(415) 435-4591
Entity
Organization
Contact information
Practice address
455 E BAY DR, LONG BEACH, NY 11561-2301
(516) 897-1100
Mailing address
PO BOX 409041, ATLANTA, GA 30384-9041
(800) 377-8721
(304) 697-1155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03007563
—
NY
01
—
CL0022
RR MEDICARE
—
01
—
W21801
GROUP BCBS #
NY
Enumeration date
11/15/2005
Last updated
05/21/2013
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