| Cerebral Palsy Of Nys | |
|
Koicheff Health Care Center Dme 2324 Forest Ave Staten Island NY 10303-1506 | |
| (718) 447-8205 | |
| Not Available |
| Full Name | Cerebral Palsy Of Nys |
|---|---|
| Speciality | Clinic/center |
| Location | Koicheff Health Care Center Dme, Staten Island, New York |
| Authorized Official Name and Position | Thomas Mandelkow (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 2129475770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cerebral Palsy Of Nys 330 W 34th St Fl 15 New York NY 10001-2406 Ph: (212) 947-5770 | Cerebral Palsy Of Nys Koicheff Health Care Center Dme 2324 Forest Ave Staten Island NY 10303-1506 Ph: (718) 447-8205 |
| NPI Number | 1700835394 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700835394 | NPI | - | NPPES |
| 00947324 | Medicaid | NY | |
| 003 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
All Island Physician Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-3327 | |
Im Care Family Health Np Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3974 Amboy Rd Ste 302, Staten Island, NY 10308 Phone: 718-967-1071 | |
Richmond Primary Care Specialists, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Seguine Ave, Suite 1, Staten Island, NY 10309 Phone: 718-967-8300 Fax: 718-967-8335 | |
S & G Medical Services, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Victory Blvd Unit A, Staten Island, NY 10314 Phone: 718-331-6064 | |
Onecare Health-advanced Practice Health & Wellness Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 97 Port Richmond Ave, Staten Island, NY 10302 Phone: 347-460-1239 | |
Dongan Hills Medical Practice,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1487 Richmond Rd, Staten Island, NY 10304 Phone: 718-979-3643 Fax: 718-987-2655 | |
Internal Medicine Associates Of Richmond County Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 Victory Boulevard, Staten Island, NY 10314 Phone: 718-761-4400 Fax: 718-698-0878 |