| Bronx Treatment Center | |
|
1250 Shakespeare Ave Bronx NY 10452-3012 | |
| (718) 583-7736 | |
| (646) 350-1634 |
| Full Name | Bronx Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1250 Shakespeare Ave, Bronx, New York |
| Authorized Official Name and Position | Nidhi Sahgal (OWNER) |
| Authorized Official Contact | 7186180401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronx Treatment Center 2626 Halperin Ave Bronx NY 10461-2631 Ph: (718) 618-0401 | Bronx Treatment Center 1250 Shakespeare Ave Bronx NY 10452-3012 Ph: (718) 583-7736 |
| NPI Number | 1720634538 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 0840604310 |
|---|---|
| Medicare Enrollment ID | O20210123000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720634538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Elena Pollack |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366711350 PECOS PAC ID: 1658363478 Enrollment ID: I20040401000532 |
| Provider Name | Ali Sherzoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245265297 PECOS PAC ID: 0840283602 Enrollment ID: I20040407000044 |
| Provider Name | Aruna Barua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609940121 PECOS PAC ID: 8628062262 Enrollment ID: I20040414001215 |
| Provider Name | David Jakubowicz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538169230 PECOS PAC ID: 6709856453 Enrollment ID: I20040729000505 |
| Provider Name | Praveen Kumrah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568463842 PECOS PAC ID: 4587634233 Enrollment ID: I20040729000535 |
| Provider Name | Sandeep K Malik |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154484525 PECOS PAC ID: 0547229114 Enrollment ID: I20041008000277 |
| Provider Name | Mariela Glandt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235301920 PECOS PAC ID: 2062477102 Enrollment ID: I20041130000829 |
| Provider Name | Charles E Libby |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306954946 PECOS PAC ID: 5597719740 Enrollment ID: I20050310000137 |
| Provider Name | Timothy J Vittorio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427044536 PECOS PAC ID: 6709813025 Enrollment ID: I20050719000553 |
| Provider Name | Ralph Jeudy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114925732 PECOS PAC ID: 0244265452 Enrollment ID: I20050927000759 |
| Provider Name | Srinivas Kesanakurthy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770558397 PECOS PAC ID: 5890714356 Enrollment ID: I20051115000223 |
| Provider Name | Hilary B Kern |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033282934 PECOS PAC ID: 3072523752 Enrollment ID: I20060425000641 |
| Provider Name | Ravindra Kashyap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639128366 PECOS PAC ID: 4688686264 Enrollment ID: I20060623000060 |
| Provider Name | Robert Seth Mahler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376580605 PECOS PAC ID: 7416952908 Enrollment ID: I20060915000067 |
| Provider Name | Cynthia Prabahar Sudar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114064425 PECOS PAC ID: 9638275415 Enrollment ID: I20070511000250 |
| Provider Name | Sheryll Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932384906 PECOS PAC ID: 5092897389 Enrollment ID: I20080125000016 |
| Provider Name | Mazda Alaie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174611164 PECOS PAC ID: 7618042730 Enrollment ID: I20080823000049 |
| Provider Name | Alfonso A Ortiz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699915967 PECOS PAC ID: 5193882066 Enrollment ID: I20090319000516 |
| Provider Name | Muhammad A Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811125339 PECOS PAC ID: 4688716582 Enrollment ID: I20100114000663 |
| Provider Name | Florence Pua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124105036 PECOS PAC ID: 3971796483 Enrollment ID: I20101015001206 |
| Provider Name | Casey A Pidich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619293826 PECOS PAC ID: 2961691613 Enrollment ID: I20110111000446 |
| Provider Name | Janet Ohare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740590603 PECOS PAC ID: 4981889755 Enrollment ID: I20110421000553 |
| Provider Name | Haleh Nassiri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013293166 PECOS PAC ID: 9133389000 Enrollment ID: I20120330000117 |
| Provider Name | Ananth Adurthy Shankar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811153695 PECOS PAC ID: 8022242932 Enrollment ID: I20131009000081 |
| Provider Name | Venkata Durbhaka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134563885 PECOS PAC ID: 6800035486 Enrollment ID: I20131022000648 |
| Provider Name | Tawfik A Zein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265775308 PECOS PAC ID: 8325273147 Enrollment ID: I20131104000989 |
| Provider Name | Farbod Raiszadeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336404128 PECOS PAC ID: 6608005475 Enrollment ID: I20140128000816 |
| Provider Name | Mital Pratik Saparia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336552413 PECOS PAC ID: 6901027317 Enrollment ID: I20141029001031 |
| Provider Name | Kenneth Edward Bloom |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477536068 PECOS PAC ID: 2163429457 Enrollment ID: I20150609001213 |
| Provider Name | Anthonia Ajimavo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114309283 PECOS PAC ID: 0143536045 Enrollment ID: I20150908001225 |
| Provider Name | Amanda M Diamond |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528422953 PECOS PAC ID: 6608168935 Enrollment ID: I20160707001171 |
| Provider Name | Frances Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831647817 PECOS PAC ID: 5597043117 Enrollment ID: I20161101001947 |
| Provider Name | Maya B Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992028542 PECOS PAC ID: 6800058751 Enrollment ID: I20170208002708 |
| Provider Name | Eliana Lopez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740578269 PECOS PAC ID: 9830474717 Enrollment ID: I20170315001342 |
| Provider Name | Ruben N Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063783843 PECOS PAC ID: 4183991854 Enrollment ID: I20170531000522 |
| Provider Name | Nora L Benavides |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740558444 PECOS PAC ID: 2062771231 Enrollment ID: I20180116000222 |
| Provider Name | Alaa Kalloub |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497196554 PECOS PAC ID: 8729340930 Enrollment ID: I20180328002782 |
| Provider Name | Victoria L Sully |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477824670 PECOS PAC ID: 8325391857 Enrollment ID: I20181030001026 |
| Provider Name | Shivang Desai |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1811288830 PECOS PAC ID: 3577860360 Enrollment ID: I20190619002302 |
| Provider Name | Monica Cespedes Santana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114204161 PECOS PAC ID: 7214212653 Enrollment ID: I20190926000825 |
| Provider Name | Pendor Haiyede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215586490 PECOS PAC ID: 4880020510 Enrollment ID: I20200128003090 |
| Provider Name | Virginia Wei-cheng Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740706472 PECOS PAC ID: 3173946191 Enrollment ID: I20200709002637 |
| Provider Name | Pooja Shah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821520933 PECOS PAC ID: 1951725910 Enrollment ID: I20200723000524 |
| Provider Name | Jyoti S Drall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245327907 PECOS PAC ID: 1052735701 Enrollment ID: I20200728001576 |
| Provider Name | Marie M. Medina-merveille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407383193 PECOS PAC ID: 8022434372 Enrollment ID: I20200817003090 |
| Provider Name | Binu Kuriakose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649705328 PECOS PAC ID: 4688919780 Enrollment ID: I20200915001371 |
| Provider Name | Linda Kwartemaa Boamah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447885157 PECOS PAC ID: 0143648493 Enrollment ID: I20200917002815 |
| Provider Name | Raecene Chantai Rousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790305415 PECOS PAC ID: 7113346842 Enrollment ID: I20200930001339 |
| Provider Name | Sharleen Carema Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134729809 PECOS PAC ID: 7113339987 Enrollment ID: I20201220000005 |
| Provider Name | Onelys Rodriguez Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578165999 PECOS PAC ID: 3375956857 Enrollment ID: I20201229002687 |
| Provider Name | John Fadel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700272499 PECOS PAC ID: 5496189227 Enrollment ID: I20210122000130 |
| Provider Name | Angela Marizol Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528682770 PECOS PAC ID: 0244644474 Enrollment ID: I20210130000016 |
| Provider Name | Gaele Pompee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851997191 PECOS PAC ID: 7012322837 Enrollment ID: I20210209000052 |
| Provider Name | Nelaja L'elie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821494451 PECOS PAC ID: 3476968108 Enrollment ID: I20210210002355 |
| Provider Name | Keshav Teelucksingh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003164179 PECOS PAC ID: 0042582355 Enrollment ID: I20210511002873 |
| Provider Name | Francis Kwofie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356943625 PECOS PAC ID: 6002225596 Enrollment ID: I20210513001566 |
| Provider Name | Catalina Trevino Saenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275991747 PECOS PAC ID: 5193129575 Enrollment ID: I20210806001212 |
| Provider Name | Adam S Splaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932155983 PECOS PAC ID: 0244217347 Enrollment ID: I20210827001766 |
| Provider Name | Chowdhury Nusrat Farooqui Tania |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083103030 PECOS PAC ID: 2062818644 Enrollment ID: I20210907002455 |
| Provider Name | Foram Vishal Udeshi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639660038 PECOS PAC ID: 8426455890 Enrollment ID: I20210928001284 |
| Provider Name | Bladimir Quijano-rondan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528417565 PECOS PAC ID: 8921346891 Enrollment ID: I20211110000618 |
| Provider Name | Ashish Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790262939 PECOS PAC ID: 2567851231 Enrollment ID: I20211118000903 |
| Provider Name | Erewarifagha M Haidome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114301728 PECOS PAC ID: 7911399845 Enrollment ID: I20220126001024 |
| Provider Name | Monika Raj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376156034 PECOS PAC ID: 2062807191 Enrollment ID: I20220328000636 |
| Provider Name | Sai Krishna Koyoda |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902327356 PECOS PAC ID: 6204214695 Enrollment ID: I20220525001244 |
| Provider Name | Priyal Vinod Bhagat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790280105 PECOS PAC ID: 3678951316 Enrollment ID: I20220608001168 |
| Provider Name | Aakash Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790206415 PECOS PAC ID: 5395015762 Enrollment ID: I20220608001915 |
| Provider Name | Kohely Paulino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316503675 PECOS PAC ID: 9638547409 Enrollment ID: I20221129001299 |
| Provider Name | Oluchi Eke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699403287 PECOS PAC ID: 8123499647 Enrollment ID: I20230120000568 |
| Provider Name | John Missanelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124134341 PECOS PAC ID: 5092743328 Enrollment ID: I20230201003126 |
| Provider Name | Carley Ann Keim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932660099 PECOS PAC ID: 7618349127 Enrollment ID: I20230209002575 |
| Provider Name | Sunil Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841229382 PECOS PAC ID: 4486552106 Enrollment ID: I20230217002139 |
| Provider Name | Summer Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922719814 PECOS PAC ID: 3779942370 Enrollment ID: I20230629002192 |
| Provider Name | Andrew Hannah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073298568 PECOS PAC ID: 1254792039 Enrollment ID: I20230726000784 |
| Provider Name | Adam Saeed Fakir |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821640343 PECOS PAC ID: 9234591546 Enrollment ID: I20230818001098 |
| Provider Name | Janice Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497455265 PECOS PAC ID: 2567817646 Enrollment ID: I20231010000903 |
| Provider Name | Pratibha Surathi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619455318 PECOS PAC ID: 1850746827 Enrollment ID: I20231011001055 |
| Provider Name | Chinyere Nora Ogbonna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982306775 PECOS PAC ID: 9234584244 Enrollment ID: I20231011002951 |
| Provider Name | Kousilla Cheung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649055922 PECOS PAC ID: 5294183638 Enrollment ID: I20231127001100 |
| Provider Name | Idit Rosenblum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376828293 PECOS PAC ID: 0648628438 Enrollment ID: I20231205001923 |
| Provider Name | Alecia Dt Bailey-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437854825 PECOS PAC ID: 8022468669 Enrollment ID: I20231222001989 |
| Provider Name | Gary Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306544473 PECOS PAC ID: 2466813985 Enrollment ID: I20240131001990 |
| Provider Name | Kimia Mirabbaszadeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013795772 PECOS PAC ID: 8426401803 Enrollment ID: I20240201002603 |
| Provider Name | Shweta Arvindbhai Dholariya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013786474 PECOS PAC ID: 1153766506 Enrollment ID: I20240226002493 |
| Provider Name | Temilola Yewande Esan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851941199 PECOS PAC ID: 7315383726 Enrollment ID: I20240307003229 |
| Provider Name | William Montes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528674355 PECOS PAC ID: 7012354541 Enrollment ID: I20240320001340 |
| Provider Name | Renee Marrian Lewis-duquesnay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295506228 PECOS PAC ID: 4183062243 Enrollment ID: I20240409001596 |
| Provider Name | Lela Anne Karlawish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982479663 PECOS PAC ID: 4082054515 Enrollment ID: I20240501003193 |
| Provider Name | Johnna Rose Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538931209 PECOS PAC ID: 3779923172 Enrollment ID: I20240502001494 |
| Provider Name | Adam Jimoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821352634 PECOS PAC ID: 3577903897 Enrollment ID: I20240502002841 |
| Provider Name | Momina Arif |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457114233 PECOS PAC ID: 6709227853 Enrollment ID: I20240507004207 |
| Provider Name | Mohita Dutta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013782903 PECOS PAC ID: 2668813148 Enrollment ID: I20240515001309 |
| Provider Name | Simranjit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407467822 PECOS PAC ID: 8729420807 Enrollment ID: I20240521001441 |
| Provider Name | Omolola Kofoworola Oloyede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316333479 PECOS PAC ID: 3577930429 Enrollment ID: I20240603001313 |
| Provider Name | Constance A Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518728856 PECOS PAC ID: 7810439692 Enrollment ID: I20240607001976 |
| Provider Name | Mandip Chahil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356014260 PECOS PAC ID: 7810359932 Enrollment ID: I20240613001305 |
| Provider Name | Sherry Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992953293 PECOS PAC ID: 6901349372 Enrollment ID: I20240614000113 |
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 | |
Brightpoint Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1543-1545 Inwood Avenue, Bronx, NY 10452 Phone: 855-687-8700 Fax: 718-294-4765 | |
Aramark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 646-641-7427 | |
Mmc At Melrose 260 E 161 Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 E 161st St, Bronx, NY 10451 Phone: 718-920-4321 | |
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 |