Bissalam Medical Llc | |
3391 3rd Ave Ste 1 Bronx NY 10456-5355 | |
(347) 299-7967 | |
Not Available |
Full Name | Bissalam Medical Llc |
---|---|
Speciality | Clinic/Center |
Location | 3391 3rd Ave Ste 1, Bronx, New York |
Authorized Official Name and Position | Luqman O Salahudeen (PHYSICIAN) |
Authorized Official Contact | 3472997967 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bissalam Medical Llc Po Box 783 Bronx NY 10456-0525 Ph: (347) 299-7967 | Bissalam Medical Llc 3391 3rd Ave Ste 1 Bronx NY 10456-5355 Ph: (347) 299-7967 |
NPI Number | 1154988897 |
---|---|
Provider Enumeration Date | 05/28/2019 |
Last Update Date | 05/28/2019 |
Medicare PECOS PAC ID | 4486985090 |
---|---|
Medicare Enrollment ID | O20191014000808 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154988897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Luqman Salahudeen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487087193 PECOS PAC ID: 2466713318 Enrollment ID: I20180309001820 |
Mmc Medical Park At 1635 Poplar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mmc Medical Park At 1635 Poplar, 1635 Poplar Street, Bronx, NY 10461 Phone: 914-377-4722 | |
Mmc At Aecom Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Morris Park Avenue, Mmc At Aecom, Bronx, NY 10461 Phone: 914-377-4722 | |
Aramark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 646-641-7427 | |
Amth Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 369 E 149th St, 4th Floor, Bronx, NY 10455 Phone: 718-665-8300 | |
New Genesis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 E Tremont Ave Fl 2, Bronx, NY 10465 Phone: 718-828-1549 Fax: 516-303-0968 |