| 360 Complete Medical Pc | |
|
120 E 56th St Fl 14 New York NY 10022-3699 | |
| (212) 348-5100 | |
| Not Available |
| Full Name | 360 Complete Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 E 56th St Fl 14, New York, New York |
| Authorized Official Name and Position | David Kaplowitz (OWNER) |
| Authorized Official Contact | 9173794788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Complete Medical Pc 120 E 56th St Fl 14 New York NY 10022-3699 Ph: (212) 348-5100 | 360 Complete Medical Pc 120 E 56th St Fl 14 New York NY 10022-3699 Ph: (212) 348-5100 |
| NPI Number | 1821762915 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 11/10/2023 |
| Medicare PECOS PAC ID | 5496299091 |
|---|---|
| Medicare Enrollment ID | O20240705002570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821762915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David Kaplowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083670103 PECOS PAC ID: 4981612298 Enrollment ID: I20060329000016 |
| Provider Name | Robert M Meltzer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831121631 PECOS PAC ID: 6800893512 Enrollment ID: I20061021000007 |
| Provider Name | Bradley Radwaner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992893127 PECOS PAC ID: 7810066701 Enrollment ID: I20080519000328 |
| Provider Name | Boma Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730363623 PECOS PAC ID: 8729155163 Enrollment ID: I20100120000502 |
| Provider Name | Jason Loizides |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770715757 PECOS PAC ID: 5395992242 Enrollment ID: I20120828000416 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
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