| Dba Back And Body Medical | |
|
133 E 58th St Suite 708 New York NY 10022-1236 | |
| (212) 371-2000 | |
| (212) 371-2250 |
| Full Name | Dba Back And Body Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 133 E 58th St, New York, New York |
| Authorized Official Name and Position | Shan Sivendra (PRESIDENT) |
| Authorized Official Contact | 2123712000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Back And Body Medical 133 E 58th St Suite 708 New York NY 10022-1236 Ph: (212) 371-2000 | Dba Back And Body Medical 133 E 58th St Suite 708 New York NY 10022-1236 Ph: (212) 371-2000 |
| NPI Number | 1306021274 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 11/15/2010 |
| Medicare PECOS PAC ID | 6709911753 |
|---|---|
| Medicare Enrollment ID | O20100317000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306021274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 245922-1 (New York) | Primary |
| Provider Name | Ian Ferrar |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770620833 PECOS PAC ID: 7618869348 Enrollment ID: I20040327000027 |
| Provider Name | David T Perna |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780757666 PECOS PAC ID: 9931123130 Enrollment ID: I20060113000779 |
| Provider Name | Shan Sivendra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538154307 PECOS PAC ID: 7012974678 Enrollment ID: I20100129000207 |
| Provider Name | Anjhanaa Sai Kumar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427442532 PECOS PAC ID: 5294047536 Enrollment ID: I20150630000649 |
| Provider Name | Amr Samy Elbegrmi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568817997 PECOS PAC ID: 9335435825 Enrollment ID: I20160909000626 |
| Provider Name | Bhakti Dongre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649620444 PECOS PAC ID: 2961799036 Enrollment ID: I20160919000665 |
| Provider Name | Ahmed S Ahmed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679025233 PECOS PAC ID: 6608144191 Enrollment ID: I20170626001908 |
| Provider Name | Edna J Ohebshalom |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558583914 PECOS PAC ID: 9537401021 Enrollment ID: I20190502002186 |
| Provider Name | Solomon Yusupov |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346812963 PECOS PAC ID: 1052716636 Enrollment ID: I20210819001786 |
| Provider Name | Anneri Chheda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417670282 PECOS PAC ID: 4486022720 Enrollment ID: I20221117002759 |
| Provider Name | Ternjyot Khaira |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427640275 PECOS PAC ID: 9436564382 Enrollment ID: I20231016002348 |
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 |