Provider Demographics
NPI:1861896912
Name:MEDVIEW MEDICAL MANAGEMENT
Entity type:Organization
Organization Name:MEDVIEW MEDICAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-472-1741
Mailing Address - Street 1:353 HUNTINGTON AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3005
Mailing Address - Country:US
Mailing Address - Phone:844-472-1741
Mailing Address - Fax:888-546-2112
Practice Address - Street 1:353 HUNTINGTON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-3005
Practice Address - Country:US
Practice Address - Phone:844-472-1741
Practice Address - Fax:888-546-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies