Dac Physician Services,pc | |
1249 5th Ave Room-a526 New York NY 10029-4413 | |
(212) 360-1127 | |
Not Available |
Full Name | Dac Physician Services,pc |
---|---|
Speciality | Physical Medicine & Rehabilitation |
Location | 1249 5th Ave, New York, New York |
Authorized Official Name and Position | Angelo Acquista (PRESIDENT) |
Authorized Official Contact | 2125835850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dac Physician Services,pc 110 E 59th St 9c New York NY 10022-1304 Ph: (212) 583-5850 | Dac Physician Services,pc 1249 5th Ave Room-a526 New York NY 10029-4413 Ph: (212) 360-1127 |
NPI Number | 1083732663 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083732663 | NPI | - | NPPES |
02632635 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
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