| Az Medical Services Pc | |
|
3965 Sedgwick Ave 1f Bronx NY 10463-3111 | |
| (718) 548-1569 | |
| (718) 548-2480 |
| Full Name | Az Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3965 Sedgwick Ave, Bronx, New York |
| Authorized Official Name and Position | Zergabachew Asfaw (OWNER) |
| Authorized Official Contact | 7185481569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Medical Services Pc 107 Overlook Rd Pomona NY 10970-2118 Ph: (718) 548-1569 | Az Medical Services Pc 3965 Sedgwick Ave 1f Bronx NY 10463-3111 Ph: (718) 548-1569 |
| NPI Number | 1871851295 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 06/20/2012 |
| Medicare PECOS PAC ID | 1951565043 |
|---|---|
| Medicare Enrollment ID | O20120621000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871851295 | NPI | - | NPPES |
| 01883063 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 205328 (New York) | Primary |
| Provider Name | Zergabachew Asfaw |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407807472 PECOS PAC ID: 9436160777 Enrollment ID: I20060525000197 |
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