| Aldad Medical Pc | |
|
100 S Juniper St Fl 3 Philadelphia PA 19107-1316 | |
| (516) 505-7200 | |
| Not Available |
| Full Name | Aldad Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 100 S Juniper St Fl 3, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Tamir Aldad (CEO) |
| Authorized Official Contact | 5165057200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aldad Medical Pc 510 Hempstead Tpke Rm 203 West Hempstead NY 11552-1152 Ph: (516) 505-7200 | Aldad Medical Pc 100 S Juniper St Fl 3 Philadelphia PA 19107-1316 Ph: (516) 505-7200 |
| NPI Number | 1154072585 |
|---|---|
| Provider Enumeration Date | 01/18/2022 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Medicare PECOS PAC ID | 5395152201 |
|---|---|
| Medicare Enrollment ID | O20220125001762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154072585 | NPI | - | NPPES |
| MD476522 | Other | PA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Francisco Davila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396148417 PECOS PAC ID: 4486945243 Enrollment ID: I20160624001830 |
| Provider Name | Tamir Aldad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407207830 PECOS PAC ID: 3577817899 Enrollment ID: I20220125001858 |
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