Dr Corita Reilley Grudzen, MD | |
550 1st Ave, New York, NY 10016-6402 | |
(212) 263-3293 | |
Not Available |
Full Name | Dr Corita Reilley Grudzen |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 550 1st Ave, New York, 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 |
---|---|---|---|
1043418544 | NPI | - | NPPES |
070913000141 | Other | FIDELISCARE OF NY | |
6007526 | Other | MVP HEALTHPLAN PIN # | |
7243967 | Other | AETNA PPO # | |
1591896 | Other | AETNA HMO PIN # | |
3592Q1 | Other | EMPIRE BC BS | |
0170035 | Other | GHI PPO PIN # | |
10127536 | Other | CDPHP PIN # | |
6C5394 | Other | HEALTHNET PIN # | |
000000120752 | Other | GHI HMO PIN# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A91053 (California) | Secondary |
207P00000X | Emergency Medicine | 233941-1 (New York) | Primary |
Entity Name | Memorial Urgent Care Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053364539 PECOS PAC ID: 6507878675 Enrollment ID: O20060608000286 |
Entity Name | New York University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Mailing Address | Practice Location Address |
---|---|
Dr Corita Reilley Grudzen, MD 550 1st Ave, New York, NY 10016-6402 Ph: (212) 263-3293 | Dr Corita Reilley Grudzen, MD 550 1st Ave, New York, NY 10016-6402 Ph: (212) 263-3293 |
Masashi Rotte, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 560 1st Ave, New York, NY 10016 Phone: 215-955-6844 | |
Dr. Aaron Stanley Gingrich, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 10th Ave, New York, NY 10019 Phone: 212-523-4000 | |
Dr. Emin Elezi, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 506 Lenox Ave, Suite 2-105, New York, NY 10037 Phone: 212-939-2251 | |
Haley Erin Griffin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 E 68th St, New York, NY 10065 Phone: 212-746-3970 | |
Meredith Leah Morse, PHYSICIAN ASSISTANT Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 E 68th St, New York, NY 10065 Phone: 212-746-5026 | |
Rachna Sultanian, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1000 10th Ave, New York, NY 10019 Phone: 212-523-6745 | |
Susana P Tinsay, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 37 E 83rd St Apt 5, New York, NY 10028 Phone: 212-779-6052 |