Organization
SALUS MED NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND MANZANO VILLONGCO M.D. (CEO)
(646) 351-6473
Entity
Organization
Contact information
Practice address
1090 AMSTERDAM AVE, SUITE 5F, NEW YORK, NY 10025-1737
(646) 409-3557
Mailing address
123 E 88TH ST APT 5A, NEW YORK, NY 10128-1185
(646) 351-6473
(646) 351-6473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220788
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
220788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01722150
—
NY
Enumeration date
02/05/2007
Last updated
08/05/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us