Advantage Care Medicine Pc | |
2960 Grand Concourse Lobby 1 Bronx NY 10458-1904 | |
(718) 295-6815 | |
(718) 295-6828 |
Full Name | Advantage Care Medicine Pc |
---|---|
Speciality | Internal Medicine |
Location | 2960 Grand Concourse, Bronx, New York |
Authorized Official Name and Position | Darren Esposito (OWNER) |
Authorized Official Contact | 7182956815 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Advantage Care Medicine Pc 2960 Grand Concourse Lobby 1 Bronx NY 10458-1904 Ph: (718) 295-6815 | Advantage Care Medicine Pc 2960 Grand Concourse Lobby 1 Bronx NY 10458-1904 Ph: (718) 295-6815 |
NPI Number | 1699914051 |
---|---|
Provider Enumeration Date | 02/09/2009 |
Last Update Date | 10/01/2010 |
Medicare PECOS PAC ID | 9234286030 |
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Medicare Enrollment ID | O20090414000470 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699914051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Darren Esposito |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710091756 PECOS PAC ID: 2365485828 Enrollment ID: I20050606000659 |
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