Comprehensive Medical World P.c | |
2665 Grand Concourse Bronx NY 10468-3744 | |
(718) 365-3488 | |
(718) 508-0001 |
Full Name | Comprehensive Medical World P.c |
---|---|
Speciality | Internal Medicine |
Location | 2665 Grand Concourse, Bronx, New York |
Authorized Official Name and Position | Tamara S Pinkhasova (PRESEDENT, MD) |
Authorized Official Contact | 17183653488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Comprehensive Medical World P.c 2665 Grand Concourse Bronx NY 10468-3744 Ph: (718) 365-3488 | Comprehensive Medical World P.c 2665 Grand Concourse Bronx NY 10468-3744 Ph: (718) 365-3488 |
NPI Number | 1669519021 |
---|---|
Provider Enumeration Date | 02/01/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0648160978 |
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Medicare Enrollment ID | O20090127000061 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669519021 | NPI | - | NPPES |
02368165 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 225691 (New York) | Primary |
Provider Name | Tamara S Pinkhasova |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306888490 PECOS PAC ID: 8426032624 Enrollment ID: I20040615001656 |
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