Central Park Physical Medicine Pc

  • 1174848501 NPI Number
  • |
  • Actived: 14 years ago
  • |
Central Park Physical Medicine Pc is a health care provider based in Laurelton, NY. The NPI Number is 1174848501 and it has been active since 14 years ago. The specialty is Specialist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Specialist services, Central Park Physical Medicine Pc is an excellent option. We are here to help you get the care you need.

Recently Active NPIs

Overview of Central Park Physical Medicine Pc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 03/29/2010
  • Last updated: 03/30/2015

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 194218-1
  • License State: NY

Provider Mailing Address

  • Address: 21714 Merrick Blvd
    Laurelton, NY 11413
  • Phone: 347-270-8353
  • Fax: 347-826-1917

Provider Practice Location

  • Address: 21714 Merrick Blvd
    Laurelton, NY 11413
  • Phone: 347-270-8353
  • Fax: 347-826-1917

Authorized Official

  • Name: Samuel Michael Theagene MD
  • Position/Title: Owner
  • Telephone Number: 347-270-8353

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 194218-1
  • License State: NY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 194218-1
  • Identifier Type: Other
  • Identifier State: NY
  • Issuer: STATE OF NY EDUCATION DEPT

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Central Park Physical Medicine Pc?
  • A: The npi number for Central Park Physical Medicine Pc is 1174848501.
  • Q: What are Central Park Physical Medicine Pc's specialties?
  • A: Central Park Physical Medicine Pc's specialties are Specialist and different specialities.
  • Q: Where is Central Park Physical Medicine Pc business practice location?
  • A: Central Park Physical Medicine Pc business practice location is 21714 Merrick Blvd, Laurelton, NY 11413.
  • Q: How to contact Central Park Physical Medicine Pc?
  • A: You can contact Central Park Physical Medicine Pc via 347-270-8353.
  • Q: What is the authorized official for Central Park Physical Medicine Pc?
  • A: The authorized office name is Samuel Michael Theagene MD with position/title is Owner and you can reach the authorized official via phone number 3472708353.
Medicare Specialty
View all Specialties
© 2019 MDNPI.com - { Medical NPI }
Content provided by MDNPI.com mainly comes from the Centers for Medicare & Medicaid Services (CMS) published data, and the FOIA-disclosable NPPES health care provider data file.