| Dr. Ricardo E Pou Physician P.c. | |
|
229 W 97th St Suite 1-d New York NY 10025-5609 | |
| (212) 316-3276 | |
| Not Available |
| Full Name | Dr. Ricardo E Pou Physician P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 229 W 97th St, New York, New York |
| Authorized Official Name and Position | Ricardo E Pou (PRESIDENT) |
| Authorized Official Contact | 2123163276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ricardo E Pou Physician P.c. 229 W 97th St Suite 1-d New York NY 10025-5609 Ph: (212) 316-3276 | Dr. Ricardo E Pou Physician P.c. 229 W 97th St Suite 1-d New York NY 10025-5609 Ph: (212) 316-3276 |
| NPI Number | 1396922563 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 01/29/2008 |
| Medicare PECOS PAC ID | 4082799549 |
|---|---|
| Medicare Enrollment ID | O20080307000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396922563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 192097-1 (New York) | Primary |
| Provider Name | Ricardo E Pou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396847976 PECOS PAC ID: 4183709744 Enrollment ID: I20080307000137 |
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