East Harlem Medical PC

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

234547 Issued in NY

Legal business name

EAST HARLEM MEDICAL PC

Practice address

1767 Park Ave
2ND Floor
New York, NY 10035-1929

Phone

(212) 289-8900

Fax

(212) 289-8981

NPI assigned

Jul 30, 2010

Last updated

Jul 30, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ahmed A Elsoury

Title

Owner

Phone

(212) 289-8900

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1235443359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 PARK AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351929",
            "telephone_number": "212-289-8900",
            "fax_number": "212-289-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 PARK AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351929",
            "telephone_number": "212-289-8900",
            "fax_number": "212-289-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HARLEM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "ELSOURY",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-289-8900"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NY",
            "license": "234547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Harlem Council for Human Services Inc
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• East Harlem Pharmacy Corp (Abc Drugs)
• East Manhattan Anesthesia Partners, LLC.
• East Manhattan Diagnostic Imaging, P.C. (Dove Open MRI)
• East Manhattan Diagnostic Imaging, P.C. (Union Square Diagnostic Imaging)
• East Manhattan Diagnostic Imaging, P.C.

• Family Health Clinical Nurse Specialist in New York, NY
• Providers in New York, NY by specialty
• Family Health Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.