| Atac Medical Care Pc | |
|
1619 Pelham Pkwy N Bronx NY 10469-6416 | |
| (718) 881-2716 | |
| (718) 708-7790 |
| Full Name | Atac Medical Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1619 Pelham Pkwy N, Bronx, New York |
| Authorized Official Name and Position | Bulent Sadik Atac (DOCTOR) |
| Authorized Official Contact | 7188812716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atac Medical Care Pc 1619 Pelham Pkwy N Bronx NY 10469-6416 Ph: (718) 881-2716 | Atac Medical Care Pc 1619 Pelham Pkwy N Bronx NY 10469-6416 Ph: (718) 881-2716 |
| NPI Number | 1497956544 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1052382728 |
|---|---|
| Medicare Enrollment ID | O20040804001924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497956544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 180769 (New York) | Primary |
| Provider Name | Bulent Sadik Atac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942375134 PECOS PAC ID: 5799776837 Enrollment ID: I20040519000394 |
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