| Access Community Healthcare Center | |
|
83 Maiden Ln 6 Th Floor New York NY 10038-4812 | |
| (212) 780-2500 | |
| (212) 777-4277 |
| Full Name | Access Community Healthcare Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 83 Maiden Ln, New York, New York |
| Authorized Official Name and Position | Steve Ho (CEO) |
| Authorized Official Contact | 2127804454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Community Healthcare Center 83 Maiden Ln 6 Th Floor New York NY 10038-4812 Ph: (212) 780-2500 | Access Community Healthcare Center 83 Maiden Ln 6 Th Floor New York NY 10038-4812 Ph: (212) 780-2500 |
| NPI Number | 1710086590 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 03/22/2016 |
| Medicare PECOS PAC ID | 9830094663 |
|---|---|
| Medicare Enrollment ID | O20031204000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710086590 | NPI | - | NPPES |
| 01928569 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 7002164R (New York) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7002164R (New York) | Secondary |
| Provider Name | Ellen L Mausner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740293745 PECOS PAC ID: 6305831520 Enrollment ID: I20040417000116 |
| Provider Name | Warren J Goodman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558373217 PECOS PAC ID: 3870696792 Enrollment ID: I20070314000419 |
| Provider Name | Doris J Gordon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083772818 PECOS PAC ID: 2961508262 Enrollment ID: I20070503000084 |
| Provider Name | Rashida Komal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679719413 PECOS PAC ID: 9335297191 Enrollment ID: I20090505000142 |
| Provider Name | Jameela H Kobeissi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407014640 PECOS PAC ID: 0648468751 Enrollment ID: I20101215001140 |
| Provider Name | Tawana Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750519476 PECOS PAC ID: 6002076585 Enrollment ID: I20120320000667 |
| Provider Name | Camede S Allison |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770737355 PECOS PAC ID: 1456586429 Enrollment ID: I20131029000004 |
| Provider Name | Barbara Cajdler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225199649 PECOS PAC ID: 3375779382 Enrollment ID: I20131122000010 |
| Provider Name | Shen-han Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225230154 PECOS PAC ID: 9830407907 Enrollment ID: I20151009001294 |
| Provider Name | Davis T Bu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154303550 PECOS PAC ID: 7315983855 Enrollment ID: I20160104002405 |
| Provider Name | Michael Feldstein |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1063559904 PECOS PAC ID: 9133421498 Enrollment ID: I20160105000531 |
| Provider Name | Robert James Gabelman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740429448 PECOS PAC ID: 5597049791 Enrollment ID: I20170308000413 |
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 |