| Emerson Medical Pllc | |
|
11 Ralph Place Suite 305 Staten Island NY 10304 | |
| (718) 448-3800 | |
| (718) 448-2003 |
| Full Name | Emerson Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Ralph Place, Staten Island, New York |
| Authorized Official Name and Position | Natalya Chalik (VP) |
| Authorized Official Contact | 7184483800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerson Medical Pllc 11 Ralph Place Suite 305 Staten Island NY 10304 Ph: (718) 448-3800 | Emerson Medical Pllc 11 Ralph Place Suite 305 Staten Island NY 10304 Ph: (718) 448-3800 |
| NPI Number | 1972723427 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 02/25/2014 |
| Medicare PECOS PAC ID | 6608929526 |
|---|---|
| Medicare Enrollment ID | O20090724000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972723427 | NPI | - | NPPES |
| P2995181 | Other | OXFORD | |
| 02530716 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 229483 (New York) | Primary |
| 207R00000X | Internal Medicine | 25MA07633200 (New Jersey) | Secondary |
| Provider Name | Natalya Chalik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780745299 PECOS PAC ID: 3971593229 Enrollment ID: I20040517001524 |
| Provider Name | Stuart Okin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770563538 PECOS PAC ID: 7012966609 Enrollment ID: I20050124000401 |
| Provider Name | Gregory Babigian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881785939 PECOS PAC ID: 9830132976 Enrollment ID: I20050609000004 |
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