Dumont Medical Pllc | |
515 Madison Ave Fl 21 New York NY 10022-5433 | |
(646) 394-9996 | |
Not Available |
Full Name | Dumont Medical Pllc |
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Speciality | Clinic/Center |
Location | 515 Madison Ave Fl 21, New York, New York |
Authorized Official Name and Position | Steven Radowitz (PHYSICIAN OWNER) |
Authorized Official Contact | 6463949996 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dumont Medical Pllc 515 Madison Ave Fl 21 New York NY 10022-5433 Ph: (646) 394-9996 | Dumont Medical Pllc 515 Madison Ave Fl 21 New York NY 10022-5433 Ph: (646) 394-9996 |
NPI Number | 1003684911 |
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Provider Enumeration Date | 12/20/2023 |
Last Update Date | 12/20/2023 |
Certification Date | 12/20/2023 |
Medicare PECOS PAC ID | 0244775054 |
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Medicare Enrollment ID | O20240716002517 |
Identifier | Type | State | Issuer |
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1003684911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Phillip E Romero |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356417893 PECOS PAC ID: 8921137837 Enrollment ID: I20100602000096 |
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