Balance Medical Professional Primary Services Pllc | |
1150 Webster Ave. Bronx NY 10456 | |
(718) 975-1044 | |
Not Available |
Full Name | Balance Medical Professional Primary Services Pllc |
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Speciality | Internal Medicine |
Location | 1150 Webster Ave., Bronx, New York |
Authorized Official Name and Position | Ramon M Tallaj (MD) |
Authorized Official Contact | 2125674918 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Balance Medical Professional Primary Services Pllc 5030 Broadway New York NY 10034 Ph: (212) 567-4918 | Balance Medical Professional Primary Services Pllc 1150 Webster Ave. Bronx NY 10456 Ph: (718) 975-1044 |
NPI Number | 1316316789 |
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Provider Enumeration Date | 09/16/2015 |
Last Update Date | 09/16/2015 |
Medicare PECOS PAC ID | 5496056533 |
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Medicare Enrollment ID | O20151215002232 |
Identifier | Type | State | Issuer |
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1316316789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Candido C Norberto |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1811103880 PECOS PAC ID: 3678558848 Enrollment ID: I20040622000492 |
Provider Name | Elizabeth Concepcion |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255307344 PECOS PAC ID: 4789646720 Enrollment ID: I20041101001149 |
Provider Name | Kathleen G Beltran |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407234503 PECOS PAC ID: 8224342571 Enrollment ID: I20150731014482 |
Provider Name | Domingo Pena |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841857166 PECOS PAC ID: 2961865746 Enrollment ID: I20230825003207 |
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