| Center For Comprehensive Health Practice | |
|
35 E 110th St Fl 4 New York NY 10029-0354 | |
| (212) 360-7893 | |
| (212) 937-0928 |
| Full Name | Center For Comprehensive Health Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 35 E 110th St Fl 4, New York, New York |
| Authorized Official Name and Position | Ann Mendelsohn (ASSOCIATE DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2123607893 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Comprehensive Health Practice 35 E 110th St Fl 4 New York NY 10029-0354 Ph: (212) 360-7893 | Center For Comprehensive Health Practice 35 E 110th St Fl 4 New York NY 10029-0354 Ph: (212) 360-7893 |
| NPI Number | 1073546354 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 3971494006 |
|---|---|
| Medicare Enrollment ID | O20040320000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073546354 | NPI | - | NPPES |
| 01148714 | Medicaid | NY |
| Provider Name | Zobidatte Moussa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912066101 PECOS PAC ID: 0345347167 Enrollment ID: I20070512000013 |
| Provider Name | Mariely Fernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174644611 PECOS PAC ID: 6103927157 Enrollment ID: I20070720000741 |
| Provider Name | Anna Renkiewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770888778 PECOS PAC ID: 3274795679 Enrollment ID: I20120501000574 |
| Provider Name | Sharon Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639304579 PECOS PAC ID: 6507014776 Enrollment ID: I20120912000687 |
| Provider Name | Judy M Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912469339 PECOS PAC ID: 1153713748 Enrollment ID: I20220111000827 |
| Provider Name | Victoria A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952024911 PECOS PAC ID: 9335510528 Enrollment ID: I20230126001348 |
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