Provider Demographics
NPI:1831424423
Name:MEDICAL SPECIALTY ASSOCIATES, LLP
Entity type:Organization
Organization Name:MEDICAL SPECIALTY ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-539-1800
Mailing Address - Street 1:225 NASSAU BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2247
Mailing Address - Country:US
Mailing Address - Phone:516-539-1800
Mailing Address - Fax:516-539-0651
Practice Address - Street 1:225 NASSAU BLVD
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2247
Practice Address - Country:US
Practice Address - Phone:516-539-1800
Practice Address - Fax:516-539-0651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY154676207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty