Agape Comprehensive Medical Office Pc | |
518 E 149th St Bronx NY 10455-2812 | |
(917) 444-1676 | |
(718) 993-9319 |
Full Name | Agape Comprehensive Medical Office Pc |
---|---|
Speciality | Internal Medicine |
Location | 518 E 149th St, Bronx, New York |
Authorized Official Name and Position | Emilio Almanzar (DELEGATED OFFICIAL) |
Authorized Official Contact | 2019215063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Agape Comprehensive Medical Office Pc 560 Hudson St Ste 301 Hackensack NJ 07601-6655 Ph: (917) 444-1676 | Agape Comprehensive Medical Office Pc 518 E 149th St Bronx NY 10455-2812 Ph: (917) 444-1676 |
NPI Number | 1205397767 |
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Provider Enumeration Date | 03/27/2019 |
Last Update Date | 11/05/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205397767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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