| Ehmeth Medical Services, Pc | |
|
3130 Grand Concourse Suite B5 Bronx NY 10458-1213 | |
| (718) 364-3322 | |
| (718) 364-2790 |
| Full Name | Ehmeth Medical Services, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3130 Grand Concourse, Bronx, New York |
| Authorized Official Name and Position | Samuel R Walters (INTERNIST) |
| Authorized Official Contact | 7183643322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ehmeth Medical Services, Pc 13876 Queens Blvd 1st Floor Briarwood NY 11435-2930 Ph: (718) 850-6345 | Ehmeth Medical Services, Pc 3130 Grand Concourse Suite B5 Bronx NY 10458-1213 Ph: (718) 364-3322 |
| NPI Number | 1033426937 |
|---|---|
| Provider Enumeration Date | 09/13/2010 |
| Last Update Date | 09/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033426937 | NPI | - | NPPES |
| A300024689 | Other | NY | MEDICARE EMPIRE |
| G300013444 | Other | NY | MEDICARE GHI |
| 00213896 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 115662 (New York) | Primary |
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