| Alicia Almendral Md Pllc | |
|
2347 Mickle Ave 1st Floor Bronx NY 10469-6311 | |
| (646) 220-5798 | |
| Not Available |
| Full Name | Alicia Almendral Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2347 Mickle Ave, Bronx, New York |
| Authorized Official Name and Position | Alicia Sta. Maria Almendral (OWNER) |
| Authorized Official Contact | 3475272257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Almendral Md Pllc 2347 Mickle Ave 1st Floor Bronx NY 10469-6311 Ph: (917) 633-7710 | Alicia Almendral Md Pllc 2347 Mickle Ave 1st Floor Bronx NY 10469-6311 Ph: (646) 220-5798 |
| NPI Number | 1083930945 |
|---|---|
| Provider Enumeration Date | 04/15/2010 |
| Last Update Date | 10/21/2021 |
| Medicare PECOS PAC ID | 5698960656 |
|---|---|
| Medicare Enrollment ID | O20200429000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083930945 | NPI | - | NPPES |
| 02799219 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alicia Almendral |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932125465 PECOS PAC ID: 4486653185 Enrollment ID: I20101015000255 |
| Provider Name | Nguyet Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063641074 PECOS PAC ID: 0941569867 Enrollment ID: I20210407002544 |
| Provider Name | Daniel Pabayo Bolocboloc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548911506 PECOS PAC ID: 7012395312 Enrollment ID: I20220527000138 |
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