| Bodhi Medical Care, Llc | |
|
330 W 58th St Suite #414 New York NY 10019-1827 | |
| (212) 624-0220 | |
| (212) 624-0220 |
| Full Name | Bodhi Medical Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 W 58th St, New York, New York |
| Authorized Official Name and Position | Martin Malachovsky (PRESIDENT) |
| Authorized Official Contact | 9176645607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodhi Medical Care, Llc 330 W 58th St Suite #414 New York NY 10019-1827 Ph: (212) 624-0220 | Bodhi Medical Care, Llc 330 W 58th St Suite #414 New York NY 10019-1827 Ph: (212) 624-0220 |
| NPI Number | 1649364639 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 09/23/2014 |
| Medicare PECOS PAC ID | 2860494648 |
|---|---|
| Medicare Enrollment ID | O20070207000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649364639 | NPI | - | NPPES |
| 01857152 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 218135 (New York) | Primary |
| Provider Name | Martin Malachovsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568402261 PECOS PAC ID: 9133014954 Enrollment ID: I20040707000994 |
| Provider Name | Henry D Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932356219 PECOS PAC ID: 9335155506 Enrollment ID: I20060224000348 |
| Provider Name | Heather A Angelillo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205029956 PECOS PAC ID: 0345325403 Enrollment ID: I20080313000206 |
| Provider Name | Charles Oliner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740449313 PECOS PAC ID: 7416189618 Enrollment ID: I20140422000134 |
| Provider Name | Alexandra Covino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851775837 PECOS PAC ID: 1951656925 Enrollment ID: I20180614001864 |
| Provider Name | Danijela Slovac Zotovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871670844 PECOS PAC ID: 2163619875 Enrollment ID: I20190628001950 |
| Provider Name | Maricela Garcia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184955866 PECOS PAC ID: 4284944844 Enrollment ID: I20200218002613 |
| Provider Name | Laura Joy Grasso Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871955971 PECOS PAC ID: 8729322532 Enrollment ID: I20201020003440 |
| Provider Name | Dawn Barie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548340094 PECOS PAC ID: 4183800634 Enrollment ID: I20210215001037 |
| Provider Name | Yesika Alejandra Garcia Lopez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104277219 PECOS PAC ID: 4587903257 Enrollment ID: I20230303001059 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |