| Mount Hope Family Practice | |
|
130 W Tremont Ave Bronx NY 10453-5436 | |
| (718) 583-9000 | |
| (718) 583-2835 |
| Full Name | Mount Hope Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 130 W Tremont Ave, Bronx, New York |
| Authorized Official Name and Position | Neil Calman (PRESIDENT AND CEO) |
| Authorized Official Contact | 2126330800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Hope Family Practice Cl # 4655 Po Box 95000 Philadelphia PA 19195-4655 Ph: (845) 255-3435 | Mount Hope Family Practice 130 W Tremont Ave Bronx NY 10453-5436 Ph: (718) 583-9000 |
| NPI Number | 1073886131 |
|---|---|
| Provider Enumeration Date | 02/20/2012 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 9234048588 |
|---|---|
| Medicare Enrollment ID | O20030307000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073886131 | NPI | - | NPPES |
| 00903700 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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