| Dr Rodionova Medical Services Pc | |
|
2109 Matthews Ave Bronx NY 10462-2614 | |
| (718) 794-1000 | |
| (718) 684-4307 |
| Full Name | Dr Rodionova Medical Services Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2109 Matthews Ave, Bronx, New York |
| Authorized Official Name and Position | Natalya V Rodionova (PRESIDENT) |
| Authorized Official Contact | 7187941000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rodionova Medical Services Pc 2109 Matthews Ave Bronx NY 10462-2614 Ph: (718) 794-1000 | Dr Rodionova Medical Services Pc 2109 Matthews Ave Bronx NY 10462-2614 Ph: (718) 794-1000 |
| NPI Number | 1477188472 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 05/12/2020 |
| Medicare PECOS PAC ID | 1254769599 |
|---|---|
| Medicare Enrollment ID | O20200319001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477188472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Natalya V Rodionova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679654768 PECOS PAC ID: 0840375572 Enrollment ID: I20080305000497 |
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