| 436 Gwb Medical Office Pc | |
|
436 Fort Washington Ave Apt 1a New York NY 10033-3533 | |
| (212) 923-0408 | |
| (212) 923-7051 |
| Full Name | 436 Gwb Medical Office Pc |
|---|---|
| Speciality | General Practice |
| Location | 436 Fort Washington Ave Apt 1a, New York, New York |
| Authorized Official Name and Position | Jose A Goris (MD) |
| Authorized Official Contact | 2129230408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 436 Gwb Medical Office Pc 435 Fort Washington Ave Apt 2b New York NY 10033-3527 Ph: (212) 923-0408 | 436 Gwb Medical Office Pc 436 Fort Washington Ave Apt 1a New York NY 10033-3533 Ph: (212) 923-0408 |
| NPI Number | 1366952913 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 10/10/2017 |
| Medicare PECOS PAC ID | 7012273352 |
|---|---|
| Medicare Enrollment ID | O20171102001085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366952913 | NPI | - | NPPES |
| 01740610 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jose A Goris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790714962 PECOS PAC ID: 2668537556 Enrollment ID: I20090304000664 |
| Provider Name | Carlos Enrique Huauya Leuyacc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487273660 PECOS PAC ID: 2062801590 Enrollment ID: I20230829002306 |
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 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |