East Side Primary Medical Care, P.c. | |
229 E 79th St New York NY 10075-0866 | |
(212) 737-2000 | |
Not Available |
Full Name | East Side Primary Medical Care, P.c. |
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Speciality | Internal Medicine |
Location | 229 E 79th St, New York, New York |
Authorized Official Name and Position | Daniel P Klein (PRESIDENT) |
Authorized Official Contact | 2127372000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East Side Primary Medical Care, P.c. 229 E 79th St New York NY 10075-0866 Ph: (212) 737-2000 | East Side Primary Medical Care, P.c. 229 E 79th St New York NY 10075-0866 Ph: (212) 737-2000 |
NPI Number | 1508008996 |
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Provider Enumeration Date | 03/31/2009 |
Last Update Date | 12/19/2017 |
Medicare PECOS PAC ID | 9931258431 |
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Medicare Enrollment ID | O20090512000410 |
Identifier | Type | State | Issuer |
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1508008996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 172225 (New York) | Primary |
Provider Name | Daniel P Klein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306924519 PECOS PAC ID: 0941359442 Enrollment ID: I20090512000396 |
Provider Name | Corazon B Cajulis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467757468 PECOS PAC ID: 0244496222 Enrollment ID: I20120718000812 |
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