Provider Demographics
NPI:1902324734
Name:FLATIRON FAMILY MEDICAL PC
Entity Type:Organization
Organization Name:FLATIRON FAMILY MEDICAL PC
Other - Org Name:FLATIRON FAMILY MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-343-2222
Mailing Address - Street 1:12 W 21ST ST FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6914
Mailing Address - Country:US
Mailing Address - Phone:212-343-2222
Mailing Address - Fax:646-455-1965
Practice Address - Street 1:12 W 21ST ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6914
Practice Address - Country:US
Practice Address - Phone:212-343-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty