| All Axis Medical Pc | |
|
10706 Liberty Ave Ozone Park NY 11417-1813 | |
| (917) 379-4445 | |
| Not Available |
| Full Name | All Axis Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10706 Liberty Ave, Ozone Park, New York |
| Authorized Official Name and Position | Jesus Serrano (OWNER) |
| Authorized Official Contact | 9173794445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Axis Medical Pc 4 Castle Ct Thiells NY 10984-1310 Ph: (917) 379-4445 | All Axis Medical Pc 10706 Liberty Ave Ozone Park NY 11417-1813 Ph: (917) 379-4445 |
| NPI Number | 1083177711 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 04/10/2019 |
| Medicare PECOS PAC ID | 4587077763 |
|---|---|
| Medicare Enrollment ID | O20210107000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083177711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Arkadiusz Arek Jachimowicz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639242316 PECOS PAC ID: 2365422425 Enrollment ID: I20040721000477 |
| Provider Name | Jesus C Serrano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225283401 PECOS PAC ID: 9335310135 Enrollment ID: I20110928000338 |
| Provider Name | Cigi Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013246529 PECOS PAC ID: 3476715392 Enrollment ID: I20120510000045 |
| Provider Name | Ronald Andrade Labayen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134457344 PECOS PAC ID: 2961622253 Enrollment ID: I20141009000129 |
| Provider Name | Elizabeth Benoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457732539 PECOS PAC ID: 3274800255 Enrollment ID: I20170523000173 |
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