Triumph Medical Care P.l.l.c. | |
165 N Village Ave Suite 135 Rockville Centre NY 11570-3761 | |
(516) 255-3773 | |
(516) 255-3778 |
Full Name | Triumph Medical Care P.l.l.c. |
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Speciality | Psychiatry & Neurology |
Location | 165 N Village Ave, Rockville Centre, New York |
Authorized Official Name and Position | Omanamhe Masagbor (M.D.) |
Authorized Official Contact | 5162553773 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Triumph Medical Care P.l.l.c. 165 N Village Ave Suite 135 Rockville Centre NY 11570-3761 Ph: (516) 255-3773 | Triumph Medical Care P.l.l.c. 165 N Village Ave Suite 135 Rockville Centre NY 11570-3761 Ph: (516) 255-3773 |
NPI Number | 1770908162 |
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Provider Enumeration Date | 02/21/2014 |
Last Update Date | 02/25/2014 |
Medicare PECOS PAC ID | 1254557234 |
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Medicare Enrollment ID | O20140728002528 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770908162 | NPI | - | NPPES |
Provider Name | Omanamhe Masagbor |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780814681 PECOS PAC ID: 9931241171 Enrollment ID: I20140728002575 |
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