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Contact Information

CCMMA TX PLLC
2 PARK AVE STE 2039
NEW YORK, NY10016-5675
 Phone: 845-702-2711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CCMMA TX PLLC · (Female)

NPI # 1841829819
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2020
Last updated 04/15/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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