| NPI | 1487079505 |
|---|---|
| Doing Business As | MAIN STREET MEDICAL CENTERS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN O BANJOKO CFO 212-257-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2024-10-03 |