| Telemedicine Associates, P.c. | |
|
594 Dean St # 18 Brooklyn NY 11238-3009 | |
| (646) 331-2735 | |
| Not Available |
| Full Name | Telemedicine Associates, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 594 Dean St # 18, Brooklyn, New York |
| Authorized Official Name and Position | Mark Shen (PRESIDENT) |
| Authorized Official Contact | 8004756168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telemedicine Associates, P.c. Po Box 1543 Austin TX 78767-1543 Ph: (800) 475-6168 | Telemedicine Associates, P.c. 594 Dean St # 18 Brooklyn NY 11238-3009 Ph: (646) 331-2735 |
| NPI Number | 1790333060 |
|---|---|
| Provider Enumeration Date | 08/29/2019 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Medicare PECOS PAC ID | 8921417601 |
|---|---|
| Medicare Enrollment ID | O20210510001534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790333060 | NPI | - | NPPES |
| Provider Name | Mark Wayne Shen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508826405 PECOS PAC ID: 0446346399 Enrollment ID: I20210510002269 |
| Provider Name | Joseph Micahel Wiener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952388845 PECOS PAC ID: 4183677453 Enrollment ID: I20210628003061 |
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