Organization Name: | SG NY SERVICES CORP |
NPI Number: | 1003294000 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANKLIN S. GARCIA (OWNER) |
Mailing Address: | 24 Sharon Dr Middletown |
State: | NY US |
Postal Code: | 109411675 |
Phone Number: | 9178562320 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2015 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | EEG |
Taxonomy Definition: |