Ideal Idtf Services Of New York, Inc. | |
4394 Broadway New York NY 10040-4002 | |
(212) 795-1221 | |
Not Available |
Full Name | Ideal Idtf Services Of New York, Inc. |
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Speciality | Technician, Other |
Location | 4394 Broadway, New York, New York |
Authorized Official Name and Position | Jorge Pina (PRESIDENT) |
Authorized Official Contact | 6465337790 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ideal Idtf Services Of New York, Inc. 4394 Broadway New York NY 10040-4002 Ph: (212) 795-1221 | Ideal Idtf Services Of New York, Inc. 4394 Broadway New York NY 10040-4002 Ph: (212) 795-1221 |
NPI Number | 1952601668 |
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Provider Enumeration Date | 10/27/2010 |
Last Update Date | 10/27/2010 |
Identifier | Type | State | Issuer |
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1952601668 | NPI | - | NPPES |
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Laurie D Gilkes Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 330 E 79th St, Suite 1g, New York, NY 10075 Phone: 212-737-0560 Fax: 212-737-0560 | |
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