| Active Aging Medical P.c. | |
|
244 5th Ave Suite 200 New York NY 10001-7604 | |
| (732) 425-3564 | |
| (888) 999-8689 |
| Full Name | Active Aging Medical P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 244 5th Ave, New York, New York |
| Authorized Official Name and Position | Alexander Kolessa (PRESIDENT) |
| Authorized Official Contact | 7324253564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Aging Medical P.c. 244 5th Ave Suite 200 New York NY 10001-7604 Ph: (732) 425-3564 | Active Aging Medical P.c. 244 5th Ave Suite 200 New York NY 10001-7604 Ph: (732) 425-3564 |
| NPI Number | 1073910055 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 01/21/2015 |
| Medicare PECOS PAC ID | 1759601776 |
|---|---|
| Medicare Enrollment ID | O20150514001921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073910055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 254294 (New York) | Primary |
| Provider Name | Alexander Kolessa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902009459 PECOS PAC ID: 5890829352 Enrollment ID: I20100819000209 |
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 | |
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