Comprehensive Primary Care Services Pc | |
175 Memorial Hwy Suite 2-1 New Rochelle NY 10801-5635 | |
(914) 235-7530 | |
(914) 235-8470 |
Full Name | Comprehensive Primary Care Services Pc |
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Speciality | Internal Medicine |
Location | 175 Memorial Hwy, New Rochelle, New York |
Authorized Official Name and Position | Basil Njoku (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 9142357530 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Primary Care Services Pc 175 Memorial Hwy Suite 2-1 New Rochelle NY 10801-5635 Ph: (914) 235-7530 | Comprehensive Primary Care Services Pc 175 Memorial Hwy Suite 2-1 New Rochelle NY 10801-5635 Ph: (914) 235-7530 |
NPI Number | 1184837791 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 06/23/2008 |
Medicare PECOS PAC ID | 1153399712 |
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Medicare Enrollment ID | O20040921000964 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184837791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Ijeoma Nduka |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396840039 PECOS PAC ID: 7517935182 Enrollment ID: I20041005000633 |
Provider Name | Amaris Garcia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871629345 PECOS PAC ID: 4789782871 Enrollment ID: I20070613000656 |
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