| Balm Of Gilead Medical Office, Pc | |
|
4626 White Plains Rd Bronx NY 10470-1610 | |
| (718) 547-4077 | |
| Not Available |
| Full Name | Balm Of Gilead Medical Office, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4626 White Plains Rd, Bronx, New York |
| Authorized Official Name and Position | Gregory Emili (ASSOCIATE PROGRAM DIRECTOR) |
| Authorized Official Contact | 7185474077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balm Of Gilead Medical Office, Pc 4626 White Plains Rd Bronx NY 10470-1610 Ph: (718) 547-4077 | Balm Of Gilead Medical Office, Pc 4626 White Plains Rd Bronx NY 10470-1610 Ph: (718) 547-4077 |
| NPI Number | 1720104474 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 04/22/2021 |
| Medicare PECOS PAC ID | 5799697223 |
|---|---|
| Medicare Enrollment ID | O20031104000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720104474 | NPI | - | NPPES |
| Provider Name | Gregory Emili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932287042 PECOS PAC ID: 5799697207 Enrollment ID: I20031104000017 |
| Provider Name | Nnamdi Emd Maduekwe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659424398 PECOS PAC ID: 1254370802 Enrollment ID: I20050503000456 |
| Provider Name | Princess C Ukachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255619078 PECOS PAC ID: 4587975396 Enrollment ID: I20150622000088 |
| Provider Name | Boris Mosheyev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740726181 PECOS PAC ID: 2264719194 Enrollment ID: I20170503000108 |
| Provider Name | Sannitta T Giwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639414097 PECOS PAC ID: 9638430390 Enrollment ID: I20180221001875 |
| Provider Name | Justine Angol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023485406 PECOS PAC ID: 3375882046 Enrollment ID: I20190226000135 |
| Provider Name | Dorothy Melissa Valcin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700429131 PECOS PAC ID: 3870921570 Enrollment ID: I20200311001874 |
| Provider Name | Pascale Vixama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295176774 PECOS PAC ID: 2466847918 Enrollment ID: I20230216000239 |
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