Evergreen Medical Clinic P.c | |
77 Bowery Fl 3f New York NY 10002-4955 | |
(212) 966-8216 | |
(212) 966-8217 |
Full Name | Evergreen Medical Clinic P.c |
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Speciality | Internal Medicine |
Location | 77 Bowery Fl 3f, New York, New York |
Authorized Official Name and Position | Yongkang He (INTERNAL MEDICINE) |
Authorized Official Contact | 2129668216 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Evergreen Medical Clinic P.c 351 Walnut St Livingston NJ 07039-5011 Ph: (212) 966-8216 | Evergreen Medical Clinic P.c 77 Bowery Fl 3f New York NY 10002-4955 Ph: (212) 966-8216 |
NPI Number | 1518198944 |
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Provider Enumeration Date | 08/03/2009 |
Last Update Date | 11/22/2021 |
Medicare PECOS PAC ID | 0244553683 |
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Medicare Enrollment ID | O20141216001605 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518198944 | NPI | - | NPPES |
2023389 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 214116 (New York) | Primary |
Provider Name | Yong He |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174555486 PECOS PAC ID: 3779474580 Enrollment ID: I20040322001583 |
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 |