| Fort Washington Medical Office Pc | |
|
65 Fort Washington Ave New York NY 10032-4634 | |
| (212) 927-0013 | |
| (212) 927-0014 |
| Full Name | Fort Washington Medical Office Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 65 Fort Washington Ave, New York, New York |
| Authorized Official Name and Position | Fausto A Gonzalez (PARTNER/OWNER) |
| Authorized Official Contact | 2129270013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Washington Medical Office Pc 65 Fort Washington Ave New York NY 10032-4634 Ph: (212) 927-0013 | Fort Washington Medical Office Pc 65 Fort Washington Ave New York NY 10032-4634 Ph: (212) 927-0013 |
| NPI Number | 1205870078 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 06/13/2023 |
| Medicare PECOS PAC ID | 3870622608 |
|---|---|
| Medicare Enrollment ID | O20100603000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205870078 | NPI | - | NPPES |
| 03288346 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel Eli Beyda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437136579 PECOS PAC ID: 5799698577 Enrollment ID: I20031107000356 |
| Provider Name | Fausto Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124087713 PECOS PAC ID: 4082607957 Enrollment ID: I20040514001006 |
| Provider Name | Jose L Deleon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508865320 PECOS PAC ID: 1759362858 Enrollment ID: I20040525001603 |
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 |