Organization Name: | HEIGHTS SURGICARE |
NPI Number: | 1013226554 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EVANS CREVECOEUR (PHYSICIAN /CEO) |
Mailing Address: | 629 W 185th St 5th Floor New York |
State: | NY US |
Postal Code: | 100333102 |
Phone Number: | 7184330044 |
Fax Number: | 7184334644 |
NPI Enumeration Date: | 10/01/2010 |
NPI Last Update Date: | 10/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |