| Atileh Medical Pc | |
|
1645 E 19th St Brooklyn NY 11229-1311 | |
| (908) 251-2754 | |
| Not Available |
| Full Name | Atileh Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1645 E 19th St, Brooklyn, New York |
| Authorized Official Name and Position | Rachel Lefkowitz (BILLING MANAGER) |
| Authorized Official Contact | 7187826380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atileh Medical Pc 465 Johnston Dr Watchung NJ 07069-6452 Ph: (908) 251-2754 | Atileh Medical Pc 1645 E 19th St Brooklyn NY 11229-1311 Ph: (908) 251-2754 |
| NPI Number | 1841700309 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 7012283856 |
|---|---|
| Medicare Enrollment ID | O20171024001375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841700309 | NPI | - | NPPES |
| 1750343034 | Other | NY | COMMERCIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Haytham Atileh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750343034 PECOS PAC ID: 3375503170 Enrollment ID: I20041015000630 |
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