Andrej Assa, MD | |
111 E 210th St, Bronx, NY 10467-2401 | |
(718) 920-4321 | |
Not Available |
Full Name | Andrej Assa |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 111 E 210th St, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902200512 | NPI | - | NPPES |
04811767 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 288440 (New York) | Secondary |
208M00000X | Hospitalist | 288440 (New York) | Primary |
Entity Name | Montefiore Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Mailing Address | Practice Location Address |
---|---|
Andrej Assa, MD 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-3370 | Andrej Assa, MD 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-4321 |
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