| C Doc Medical Group Pllc | |
|
55 Greene Ave Ste 2b Brooklyn NY 11238-6433 | |
| (631) 358-6031 | |
| (845) 231-6367 |
| Full Name | C Doc Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 55 Greene Ave Ste 2b, Brooklyn, New York |
| Authorized Official Name and Position | Christina M Antoine (CO FOUNDER) |
| Authorized Official Contact | 8453154425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C Doc Medical Group Pllc 55 Greene Ave Ste 2b Brooklyn NY 11238-6433 Ph: (845) 315-4425 | C Doc Medical Group Pllc 55 Greene Ave Ste 2b Brooklyn NY 11238-6433 Ph: (631) 358-6031 |
| NPI Number | 1689348278 |
|---|---|
| Provider Enumeration Date | 08/06/2021 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 1759774243 |
|---|---|
| Medicare Enrollment ID | O20220204001275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689348278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marushka Bindra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467522631 PECOS PAC ID: 4688663446 Enrollment ID: I20040713001236 |
| Provider Name | Jacques R Domond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679775068 PECOS PAC ID: 6305906967 Enrollment ID: I20081201000008 |
| Provider Name | Christina M Antoine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053734863 PECOS PAC ID: 0941508378 Enrollment ID: I20160418001855 |
| Provider Name | Sheena L Bruenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760913768 PECOS PAC ID: 6305122524 Enrollment ID: I20170424001111 |
| Provider Name | Mary Adebisi Oduyela |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144602996 PECOS PAC ID: 2163772294 Enrollment ID: I20180911000564 |
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