Organization
IMMEDIATE MEDICAL CARE OF MANHATTAN, PC
Active
Other names
manhattan medical care
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JOSHUA SHEPARD DO (PRESIDENT)
(212) 496-9620
Entity
Organization
Contact information
Practice address
140 W 69TH ST, NEW YORK, NY 10023-5107
(212) 496-9620
(212) 496-2768
Mailing address
140 W 69TH ST, NEW YORK, NY 10023-5107
(212) 496-9620
(212) 496-2768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125498
NY
207R00000X
Internal Medicine Physician
227782-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100000992
MEDICARE NGS
NY
Enumeration date
08/29/2006
Last updated
06/10/2009
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