Comfort Care Np In Family Health Pc | |
2330 Hoffman St Bronx NY 10458-8074 | |
(917) 825-6832 | |
Not Available |
Full Name | Comfort Care Np In Family Health Pc |
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Speciality | Clinic/Center |
Location | 2330 Hoffman St, Bronx, New York |
Authorized Official Name and Position | Su Jung Lee (NP) |
Authorized Official Contact | 9178256832 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comfort Care Np In Family Health Pc 16-24 Split Rock Rd Fair Lawn NJ 07410-4402 Ph: (917) 825-6832 | Comfort Care Np In Family Health Pc 2330 Hoffman St Bronx NY 10458-8074 Ph: (917) 825-6832 |
NPI Number | 1417656398 |
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Provider Enumeration Date | 02/28/2023 |
Last Update Date | 04/20/2023 |
Medicare PECOS PAC ID | 9638543135 |
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Medicare Enrollment ID | O20230324000290 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417656398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Su Jung Lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649711607 PECOS PAC ID: 3779869391 Enrollment ID: I20170417000052 |
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