Provider Demographics
NPI:1447291299
Name:DOWNTOWN PRIMARY CARE LLP
Entity type:Organization
Organization Name:DOWNTOWN PRIMARY CARE LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:WAGNER
Authorized Official - Last Name:JANICIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-379-6480
Mailing Address - Street 1:80 MAIDEN LN RM 1901
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4717
Mailing Address - Country:US
Mailing Address - Phone:212-793-6480
Mailing Address - Fax:
Practice Address - Street 1:80 MAIDEN LN RM 1902
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4773
Practice Address - Country:US
Practice Address - Phone:212-379-6480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty