Joseph Richard Ida, NP | |
451 Clarkson Ave, T Blg Room 606, Brooklyn, NY 11203-2057 | |
(718) 245-4485 | |
Not Available |
Full Name | Joseph Richard Ida |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 26 Years |
Location | 451 Clarkson Ave, Brooklyn, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366418287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F332104-01 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore Lij Urgent Care Pc | 6002131778 | 312 |
Brownsville Community Development Corporation | 7416903323 | 20 |
Entity Name | Brownsville Community Development Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578612412 PECOS PAC ID: 7416903323 Enrollment ID: O20071130000198 |
Entity Name | Hospitalist Healthcare Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275962011 PECOS PAC ID: 1557599313 Enrollment ID: O20140124001195 |
Entity Name | North Shore Lij Urgent Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060 |
Mailing Address | Practice Location Address |
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Joseph Richard Ida, NP 42 Seaman Ave, Rockville Center, NY 11570-2429 Ph: (516) 724-0537 | Joseph Richard Ida, NP 451 Clarkson Ave, T Blg Room 606, Brooklyn, NY 11203-2057 Ph: (718) 245-4485 |
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