| Manhasset Drug | |
|
3475 Third Ave Bronx NY 10456-4811 | |
| (347) 744-0275 | |
| Not Available |
| Full Name | Manhasset Drug |
|---|---|
| Speciality | Clinic/Center |
| Location | 3475 Third Ave, Bronx, New York |
| Authorized Official Name and Position | Kaveh Askari (PRESIDENT) |
| Authorized Official Contact | 5163684499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manhasset Drug 3475 3rd Ave Bronx NY 10456-4811 Ph: (929) 468-9401 | Manhasset Drug 3475 Third Ave Bronx NY 10456-4811 Ph: (347) 744-0275 |
| NPI Number | 1386093367 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 1759775570 |
|---|---|
| Medicare Enrollment ID | O20220221002097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386093367 | NPI | - | NPPES |
| Provider Name | Apolinario B Mateo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114964145 PECOS PAC ID: 2668661810 Enrollment ID: I20110104000986 |
| Provider Name | Walid Michelen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336298645 PECOS PAC ID: 0042128936 Enrollment ID: I20110331000038 |
| Provider Name | Stefany Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790070373 PECOS PAC ID: 2961723796 Enrollment ID: I20150605000460 |
| Provider Name | Guslene Belleus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437448396 PECOS PAC ID: 7012320062 Enrollment ID: I20210112000659 |
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