Organization
NYCACTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND SANCHEZ PHYSICIAN ASSISTANT (CONSULTANT)
(917) 763-1278
Entity
Organization
Contact information
Practice address
145 E 22ND ST APT 2H, NEW YORK, NY 10010-5512
(212) 510-7906
Mailing address
145 EAST 22ND STREET, SUITE 2H, NEW YORK, NY 10010
(212) 510-7906
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
003417
NY
261QC1500X
Community Health Clinic/Center
212182
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
111117
NY
261QP3300X
Pain Clinic/Center
243366
NY
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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