Organization
NEW YORK COLORECTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE J KAFKA MD (MEMBER)
(212) 688-2100
Entity
Organization
Contact information
Practice address
133 EAST 58TH STREET, #304, NEW YORK, NY 10022
(212) 688-2100
(212) 688-2136
Mailing address
133 EAST 58TH STREET, #304, NEW YORK, NY 10022
(212) 688-2100
(212) 688-2136
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1811531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000282
EMPIRE BLUECROSS BLUESHIE
NY
01
—
1578753554
NPI
NY
01
—
1886829
UNITED HEALTHCARE
NY
01
—
2004177
AETNA MEDICARE HMO
NY
01
—
4699994
GHI PPO
NY
01
—
5291622
AETNA PPO
NY
01
—
P00000021264
GHI MEDICARE HMO
NY
01
—
P887209
OXFORD HEALTH PLANS
NY
Enumeration date
07/26/2007
Last updated
01/17/2008
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