| C Lefevre Medical Pc | |
|
16 Squadron Blvd New City NY 10956-5259 | |
| (561) 307-5558 | |
| (212) 843-5743 |
| Full Name | C Lefevre Medical Pc |
|---|---|
| Speciality | General Practice |
| Location | 16 Squadron Blvd, New City, New York |
| Authorized Official Name and Position | Wayne Jeffrey Resnick (PHYSICIAN LIAISON) |
| Authorized Official Contact | 5613075558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C Lefevre Medical Pc 333 E 49th St Lbby D New York NY 10017-1680 Ph: (561) 307-5558 | C Lefevre Medical Pc 16 Squadron Blvd New City NY 10956-5259 Ph: (561) 307-5558 |
| NPI Number | 1093330649 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 10/27/2020 |
| Medicare PECOS PAC ID | 7517347628 |
|---|---|
| Medicare Enrollment ID | O20220707001606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093330649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Cluny Lefevre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477505147 PECOS PAC ID: 9537171905 Enrollment ID: I20060629000255 |
| Provider Name | Stephen L Wiklinski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659454981 PECOS PAC ID: 8820193527 Enrollment ID: I20070424000598 |
| Provider Name | Ryan Joel Andrews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881297455 PECOS PAC ID: 0244639946 Enrollment ID: I20210601000611 |
| Provider Name | Christopher Clinton Hollingsworth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295859379 PECOS PAC ID: 7315328374 Enrollment ID: I20220721002947 |
| Provider Name | Evrena Ghobrial |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912433921 PECOS PAC ID: 7113391335 Enrollment ID: I20230329002071 |
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