| Rvc Medical Consultation Pc | |
|
14227 Franklin Ave Flushing NY 11355-2629 | |
| (718) 964-3007 | |
| (718) 395-3007 |
| Full Name | Rvc Medical Consultation Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14227 Franklin Ave, Flushing, New York |
| Authorized Official Name and Position | Tan Angelito (MD) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rvc Medical Consultation Pc 393 Broadway Brooklyn NY 11211-7303 Ph: () - | Rvc Medical Consultation Pc 14227 Franklin Ave Flushing NY 11355-2629 Ph: (718) 964-3007 |
| NPI Number | 1003323049 |
|---|---|
| Provider Enumeration Date | 12/29/2017 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 4385905371 |
|---|---|
| Medicare Enrollment ID | O20180308001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003323049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 126705 (New York) | Primary |
| Provider Name | Angelito Tan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831115179 PECOS PAC ID: 9436045986 Enrollment ID: I20040223001168 |
| Provider Name | Abraham Lehman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477797132 PECOS PAC ID: 9830368091 Enrollment ID: I20120105000202 |
| Provider Name | Tanesha M Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659759454 PECOS PAC ID: 2860706546 Enrollment ID: I20150810000709 |
| Provider Name | Jacob White |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1386969210 PECOS PAC ID: 9436457579 Enrollment ID: I20171113001088 |
| Provider Name | Joanne Delaleu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851694004 PECOS PAC ID: 3870884091 Enrollment ID: I20180109002549 |
| Provider Name | Erin-marie Kernan-hobart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821579525 PECOS PAC ID: 8527309335 Enrollment ID: I20190404000759 |
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