| Allied Medical Associates, P.c. | |
|
1687 Ralph Ave Brooklyn NY 11236-3319 | |
| (718) 251-7191 | |
| (718) 209-1891 |
| Full Name | Allied Medical Associates, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1687 Ralph Ave, Brooklyn, New York |
| Authorized Official Name and Position | Fred Grunseid (OWNER OF CORP.) |
| Authorized Official Contact | 7182517191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Medical Associates, P.c. 1687 Ralph Ave Brooklyn NY 11236-3319 Ph: (718) 251-7191 | Allied Medical Associates, P.c. 1687 Ralph Ave Brooklyn NY 11236-3319 Ph: (718) 251-7191 |
| NPI Number | 1558553065 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 08/17/2007 |
| Medicare PECOS PAC ID | 3779670856 |
|---|---|
| Medicare Enrollment ID | O20071106000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558553065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Fred Grunseid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023036613 PECOS PAC ID: 2062477177 Enrollment ID: I20041130000621 |
| Provider Name | Ilya Domnich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699793034 PECOS PAC ID: 6204891310 Enrollment ID: I20041130000650 |
| Provider Name | Sheri Rosenfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710078639 PECOS PAC ID: 5698856250 Enrollment ID: I20080122000094 |
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