| Innovative Medical Practice Of New York Pc | |
|
1 California St Ste 2300 San Francisco CA 94111-5424 | |
| (800) 997-6196 | |
| (833) 523-9924 |
| Full Name | Innovative Medical Practice Of New York Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 California St Ste 2300, San Francisco, California |
| Authorized Official Name and Position | Todd A Thames (PRESIDENT) |
| Authorized Official Contact | 8009976196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Medical Practice Of New York Pc 1 California St Ste 2300 San Francisco CA 94111-5424 Ph: (800) 997-6196 | Innovative Medical Practice Of New York Pc 1 California St Ste 2300 San Francisco CA 94111-5424 Ph: (800) 997-6196 |
| NPI Number | 1174253868 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174253868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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