| Geriatrica, Llc | |
|
254 Moss Side Dr Athens GA 30607-2109 | |
| (646) 515-2050 | |
| Not Available |
| Full Name | Geriatrica, Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 254 Moss Side Dr, Athens, Georgia |
| Authorized Official Name and Position | Yolin A Bueno (CO-FOUNDER) |
| Authorized Official Contact | 6465152050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatrica, Llc 254 Moss Side Dr Athens GA 30607-2109 Ph: (646) 515-2050 | Geriatrica, Llc 254 Moss Side Dr Athens GA 30607-2109 Ph: (646) 515-2050 |
| NPI Number | 1639759558 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639759558 | NPI | - | NPPES |
| 1194061150 | Medicaid | NY | |
| 1447548102 | Medicaid | CT | |
| 1528356359 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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