Doris Vallejo, MD | |
1555 Westchester Ave, Bronx, NY 10472-2910 | |
(718) 765-6367 | |
(347) 523-8127 |
Full Name | Doris Vallejo |
---|---|
Gender | Female |
Speciality | Geriatric Medicine |
Experience | 42 Years |
Location | 1555 Westchester Ave, Bronx, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417111857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 189917 (New York) | Secondary |
207R00000X | Internal Medicine | 189917 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Willows At Ramapo Rehab And Nursing Center | Suffern, NY | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Griffin Myers Medical Pc | 5294145017 | 55 |
Entity Name | Griffin Myers Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780209445 PECOS PAC ID: 5294145017 Enrollment ID: O20201106001359 |
Mailing Address | Practice Location Address |
---|---|
Doris Vallejo, MD Po Box 746087, Atlanta, GA 30374-6087 Ph: (312) 733-9730 | Doris Vallejo, MD 1555 Westchester Ave, Bronx, NY 10472-2910 Ph: (718) 765-6367 |
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