Provider Demographics
NPI:1366736555
Name:GREATER NEW YORK RHEUMATOLOGY PC
Entity type:Organization
Organization Name:GREATER NEW YORK RHEUMATOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAMBHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-441-3970
Mailing Address - Street 1:8533 FOREST PKWY
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1130
Mailing Address - Country:US
Mailing Address - Phone:718-441-3970
Mailing Address - Fax:718-441-6291
Practice Address - Street 1:8533 FOREST PKWY
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1130
Practice Address - Country:US
Practice Address - Phone:718-441-3970
Practice Address - Fax:718-441-6291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-05
Last Update Date:2011-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty