| Genesis Medical Diagnostics, P.c. | |
|
164 E 61st St #1a New York NY 10065-8539 | |
| (212) 644-9100 | |
| (212) 644-6116 |
| Full Name | Genesis Medical Diagnostics, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 164 E 61st St, New York, New York |
| Authorized Official Name and Position | Ruth Chambi Johnson (OWNER) |
| Authorized Official Contact | 3477561696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Medical Diagnostics, P.c. 164 E 61st St #1a New York NY 10065-8539 Ph: (212) 644-9100 | Genesis Medical Diagnostics, P.c. 164 E 61st St #1a New York NY 10065-8539 Ph: (212) 644-9100 |
| NPI Number | 1598056129 |
|---|---|
| Provider Enumeration Date | 04/30/2011 |
| Last Update Date | 04/30/2011 |
| Medicare PECOS PAC ID | 3577749167 |
|---|---|
| Medicare Enrollment ID | O20110516000751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598056129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 244276 (New York) | Primary |
| Provider Name | Ruth Chambi Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598968612 PECOS PAC ID: 1850453614 Enrollment ID: I20090105000047 |
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 |