| East Summit Medical Pc | |
|
40 Bowery # Ground New York NY 10013-4801 | |
| (646) 609-6138 | |
| Not Available |
| Full Name | East Summit Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 40 Bowery # Ground, New York, New York |
| Authorized Official Name and Position | Kevin Tin (ADMINISTRATOR) |
| Authorized Official Contact | 9173368422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Summit Medical Pc 7116 Grand Ave Maspeth NY 11378-1823 Ph: (646) 609-6138 | East Summit Medical Pc 40 Bowery # Ground New York NY 10013-4801 Ph: (646) 609-6138 |
| NPI Number | 1093371742 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 12/06/2022 |
| Medicare PECOS PAC ID | 7618205618 |
|---|---|
| Medicare Enrollment ID | O20190829001455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093371742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Hui Hing Tin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629261722 PECOS PAC ID: 5395897300 Enrollment ID: I20090722000015 |
| Provider Name | Kevin Tin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174812044 PECOS PAC ID: 9830415728 Enrollment ID: I20150312001295 |
| Provider Name | Horace Tang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073833984 PECOS PAC ID: 1759523921 Enrollment ID: I20180515002969 |
| Provider Name | Mark Ilyagu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073994711 PECOS PAC ID: 8820340151 Enrollment ID: I20181015000980 |
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 |