| Covenant House | |
|
460 W 41st New York NY 10036 | |
| (212) 613-0300 | |
| (212) 268-2832 |
| Full Name | Covenant House |
|---|---|
| Speciality | Clinic/Center |
| Location | 460 W 41st, New York, New York |
| Authorized Official Name and Position | David J Davis (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2126130300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant House 460 W 41st New York NY 10036 Ph: (212) 613-0300 | Covenant House 460 W 41st New York NY 10036 Ph: (212) 613-0300 |
| NPI Number | 1053588988 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 06/09/2017 |
| Medicare PECOS PAC ID | 6103193024 |
|---|---|
| Medicare Enrollment ID | O20170525000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053588988 | NPI | - | NPPES |
| 00733826 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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 |