| Connected Health Medicine Pc | |
|
80 Theodore Fremd Ave Rye NY 10580-2891 | |
| (800) 989-5503 | |
| Not Available |
| Full Name | Connected Health Medicine Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 80 Theodore Fremd Ave, Rye, New York |
| Authorized Official Name and Position | Andres Jimenez (CMO) |
| Authorized Official Contact | 8009895503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connected Health Medicine Pc 80 Theodore Fremd Ave Rye NY 10580-2891 Ph: (800) 989-5503 | Connected Health Medicine Pc 80 Theodore Fremd Ave Rye NY 10580-2891 Ph: (800) 989-5503 |
| NPI Number | 1396413589 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 09/01/2021 |
| Medicare PECOS PAC ID | 2163819459 |
|---|---|
| Medicare Enrollment ID | O20220505001508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396413589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Andres Jimenez |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1689843534 PECOS PAC ID: 3173910460 Enrollment ID: I20220505001991 |
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