| Geriatric Medical Associates Pllc | |
|
445 Hamilton Ave Suite 1102 White Plains NY 10601-1807 | |
| (914) 220-8386 | |
| (914) 740-7256 |
| Full Name | Geriatric Medical Associates Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 445 Hamilton Ave, White Plains, New York |
| Authorized Official Name and Position | Paul Cavaluzzi (OWNER) |
| Authorized Official Contact | 9145056142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Medical Associates Pllc 445 Hamilton Ave Suite 1102 White Plains NY 10601-1807 Ph: (914) 505-6142 | Geriatric Medical Associates Pllc 445 Hamilton Ave Suite 1102 White Plains NY 10601-1807 Ph: (914) 220-8386 |
| NPI Number | 1275841637 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 10/17/2020 |
| Medicare PECOS PAC ID | 6103015797 |
|---|---|
| Medicare Enrollment ID | O20110113000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275841637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 229470 (New York) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Sharon L. Bronner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578509253 PECOS PAC ID: 9032108956 Enrollment ID: I20040506001763 |
| Provider Name | Paul Joseph Cavaluzzi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831311877 PECOS PAC ID: 2860469384 Enrollment ID: I20040914000946 |
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