Mr Rod Saclolo, MD | |
20 W 86th St Ste 1a, New York, NY 10024-3604 | |
(212) 799-1600 | |
(212) 477-2885 |
Full Name | Mr Rod Saclolo |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 45 Years |
Location | 20 W 86th St Ste 1a, New York, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396809091 | NPI | - | NPPES |
01761628 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 199682 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prominis Medical Services Pc | 9537124441 | 33 |
Entity Name | Prominis Medical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841323771 PECOS PAC ID: 9537124441 Enrollment ID: O20041119000601 |
Mailing Address | Practice Location Address |
---|---|
Mr Rod Saclolo, MD 20 W 86th St Ste 1a, New York, NY 10024-3604 Ph: (212) 799-1600 | Mr Rod Saclolo, MD 20 W 86th St Ste 1a, New York, NY 10024-3604 Ph: (212) 799-1600 |
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