Provider Demographics
NPI:1861926990
Name:MEDICAL SERVICES OF MANHATTAN, PLLC
Entity type:Organization
Organization Name:MEDICAL SERVICES OF MANHATTAN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:NAMRATA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHIMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-518-7874
Mailing Address - Street 1:41 PARK AVE
Mailing Address - Street 2:SUITE#1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3483
Mailing Address - Country:US
Mailing Address - Phone:212-518-7874
Mailing Address - Fax:888-872-8143
Practice Address - Street 1:290 MADISON AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6375
Practice Address - Country:US
Practice Address - Phone:212-518-7874
Practice Address - Fax:888-872-8143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-15
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY260184OtherLICENSE