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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

NPI Number 1841829819
LBN Legal business name CCMMA TX PLLC
Authorized official LAURIE LADUCA - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2020
Last updated 04/15/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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