| Tinu Addams Medical Pc | |
|
311 B W Water Street Elmira NY 14901-2914 | |
| (607) 733-0660 | |
| Not Available |
| Full Name | Tinu Addams Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 311 B W Water Street, Elmira, New York |
| Authorized Official Name and Position | Atinuke Ogunlade Addams (OWNER) |
| Authorized Official Contact | 6077330660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tinu Addams Medical Pc 111 E 14th St Elmira Heights NY 14903-1303 Ph: (607) 734-9539 | Tinu Addams Medical Pc 311 B W Water Street Elmira NY 14901-2914 Ph: (607) 733-0660 |
| NPI Number | 1194928911 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4587757471 |
|---|---|
| Medicare Enrollment ID | O20070910000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194928911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 231915 (New York) | Primary |
| Provider Name | Atinuke A Ogunlade Addams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083679690 PECOS PAC ID: 1759356314 Enrollment ID: I20040827000973 |
| Provider Name | Pierre Ngili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316254683 PECOS PAC ID: 7012182025 Enrollment ID: I20190315001925 |
| Provider Name | Andreater Rambaran-ulu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083248843 PECOS PAC ID: 3274954094 Enrollment ID: I20200603002870 |
| Provider Name | Gwinnette R Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124638671 PECOS PAC ID: 0143640896 Enrollment ID: I20201019000568 |
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