| Aids Healthcare Foundation | |
|
655 Morris Ave Ste 2 Bronx NY 10451-4898 | |
| (347) 736-9046 | |
| Not Available |
| Full Name | Aids Healthcare Foundation |
|---|---|
| Speciality | Clinic/Center |
| Location | 655 Morris Ave Ste 2, Bronx, New York |
| Authorized Official Name and Position | Lyle Honig Mojica (CFO) |
| Authorized Official Contact | 3238605244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aids Healthcare Foundation 6255 W Sunset Blvd Fl 21 Los Angeles CA 90028-7422 Ph: () - | Aids Healthcare Foundation 655 Morris Ave Ste 2 Bronx NY 10451-4898 Ph: (347) 736-9046 |
| NPI Number | 1720793318 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/18/2023 |
| Medicare PECOS PAC ID | 2668369109 |
|---|---|
| Medicare Enrollment ID | O20230413000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720793318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Marcelo Venegas Pizarro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245431204 PECOS PAC ID: 5890687354 Enrollment ID: I20040329000637 |
| Provider Name | Orin A Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487810636 PECOS PAC ID: 4789718321 Enrollment ID: I20100817001636 |
| Provider Name | Shani Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427620558 PECOS PAC ID: 9638567183 Enrollment ID: I20211102002305 |
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