Amumc / American Medical Centers | |
434 Rockaway Ave Brooklyn NY 11212-5636 | |
(718) 346-2628 | |
(718) 346-9381 |
Full Name | Amumc / American Medical Centers |
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Speciality | Clinic/Center |
Location | 434 Rockaway Ave, Brooklyn, New York |
Authorized Official Name and Position | Joseph William Tony William Tony Brown-arkah (OWNER) |
Authorized Official Contact | 3473557315 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amumc / American Medical Centers 434 Rockaway Ave Brooklyn NY 11212-5636 Ph: (718) 346-2628 | Amumc / American Medical Centers 434 Rockaway Ave Brooklyn NY 11212-5636 Ph: (718) 346-2628 |
NPI Number | 1033303912 |
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Provider Enumeration Date | 09/04/2007 |
Last Update Date | 12/08/2022 |
Medicare PECOS PAC ID | 0143112821 |
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Medicare Enrollment ID | O20040326001235 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033303912 | NPI | - | NPPES |
02178509 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 7001100R (New York) | Primary |
Provider Name | Mario Lavelanet |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972583953 PECOS PAC ID: 4880642826 Enrollment ID: I20050106000677 |
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