| Coliseum Surgical & Medical Pc | |
|
30 W 60th St Suite 1h New York NY 10023-7906 | |
| (212) 247-6575 | |
| (212) 582-9461 |
| Full Name | Coliseum Surgical & Medical Pc |
|---|---|
| Speciality | General Practice |
| Location | 30 W 60th St, New York, New York |
| Authorized Official Name and Position | Eric Moore (SURGEON) |
| Authorized Official Contact | 2122476575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coliseum Surgical & Medical Pc 503 Airport Executive Park Nanuet NY 10954-5238 Ph: (845) 426-6864 | Coliseum Surgical & Medical Pc 30 W 60th St Suite 1h New York NY 10023-7906 Ph: (212) 247-6575 |
| NPI Number | 1295890069 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 02/20/2009 |
| Medicare PECOS PAC ID | 3274698568 |
|---|---|
| Medicare Enrollment ID | O20090220000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295890069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 153732 (New York) | Primary |
| Provider Name | Eric Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215980859 PECOS PAC ID: 9032140231 Enrollment ID: I20050827000069 |
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 |