East Village Integrated Medical, Pc is a
Family Medicine - Sports Medicine based in New York, New York. East Village Integrated Medical, Pc is licensed to practice in New York (license number 264414) and their current practice location is
33 E 7th St, New York, New York. It can be reached at their office (for appointments etc.) via phone at
(212) 260-2213.
NPI number for East Village Integrated Medical, Pc is 1326572181 and their current mailing address is 33 E 7th St, New York, New York. East Village Integrated Medical, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1326572181.
Healthcare Provider's Profile
| Full Name | East Village Integrated Medical, Pc |
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| Type | Facility |
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| Speciality | Family Medicine - Sports Medicine |
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| Location | 33 E 7th St, New York, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326572181
- Provider Enumeration Date: 04/18/2017
- Last Update Date: 11/13/2017
Medical Identifiers
Medical identifiers for East Village Integrated Medical, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326572181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | X006018 (New York) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 264414 (New York) | Primary |
| 2251S0007X | Physical Therapist - Sports | 264414 (New York) | Secondary |
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. East Village Integrated Medical, Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
East Village Integrated Medical, Pc
33 E 7th St,
New York, NY 10003-8191
Ph: (212) 260-2213 | East Village Integrated Medical, Pc
33 E 7th St,
New York, NY 10003-8191
Ph: (212) 260-2213 |
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