MEDALLIANCE MEDICAL HEALTH SERVICES – NPI #1982243887
Clinic/Center

MEDALLIANCE MEDICAL HEALTH SERVICES is an AHC clinic located in NEW YORK, NY. NPPES has assigned the NPI number 1982243887 to MEDALLIANCE MEDICAL HEALTH SERVICES on December 26, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDALLIANCE MEDICAL HEALTH SERVICES below.

NPI Profile for
MEDALLIANCE MEDICAL HEALTH SERVICES

NPI Number
1982243887
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDALLIANCE MEDICAL HEALTH SERVICES
Primary location
5041 BROADWAY
NEW YORK, NY 10034-1131
Phone: (646) 869-2144 Fax: (646) 869-4955
Mailing address
625 E FORDHAM RD
BRONX, NY 10458-5049
Phone: (718) 933-1900 Fax: (718) 563-4039
Organization Subpart
No
Authorized Official
MARISOL BRAVO
ADMIN ASSISTANT/ CREDENTIALING
Phone: (718) 933-1900
Updated
Certification Date
Dec 26, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.