Ricardo Fabian Issa, | |
123 E 61st St, 2nd Floor, New York, NY 10021 | |
(212) 593-1211 | |
(646) 637-9066 |
Full Name | Ricardo Fabian Issa |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 29 Years |
Location | 123 E 61st St, 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 |
---|---|---|---|
1922041524 | NPI | - | NPPES |
2052995 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 215565 (New York) | Primary |
Entity Name | Ricardo Issa Physician Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306123740 PECOS PAC ID: 5294992673 Enrollment ID: O20120214000286 |
Mailing Address | Practice Location Address |
---|---|
Ricardo Fabian Issa, 1141 Shore Pkwy, Brooklyn, NY 11214 Ph: (718) 236-8525 | Ricardo Fabian Issa, 123 E 61st St, 2nd Floor, New York, NY 10021 Ph: (212) 593-1211 |
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