| Amth Medical Pc | |
|
369 E 149th St 4th Floor Bronx NY 10455-3906 | |
| (718) 665-8300 | |
| Not Available |
| Full Name | Amth Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 369 E 149th St, Bronx, New York |
| Authorized Official Name and Position | Adegboyega Temitope Adebayo (PRESIDENT) |
| Authorized Official Contact | 9145882076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amth Medical Pc Po Box 475 Nanuet NY 10954-0475 Ph: (914) 588-2076 | Amth Medical Pc 369 E 149th St 4th Floor Bronx NY 10455-3906 Ph: (718) 665-8300 |
| NPI Number | 1003274937 |
|---|---|
| Provider Enumeration Date | 02/06/2016 |
| Last Update Date | 02/06/2016 |
| Medicare PECOS PAC ID | 8426345711 |
|---|---|
| Medicare Enrollment ID | O20160930000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003274937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Adegboyega T Adebayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154429215 PECOS PAC ID: 6709868474 Enrollment ID: I20040616001617 |
| Provider Name | Harrison F Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629134622 PECOS PAC ID: 8921060377 Enrollment ID: I20041028000871 |
| Provider Name | Dario R Castellanos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700874336 PECOS PAC ID: 2961452701 Enrollment ID: I20050128000514 |
| Provider Name | Olubisi Adebayo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336501626 PECOS PAC ID: 4880972744 Enrollment ID: I20161027000337 |
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