Gevans Medical Practice P.c | |
1280 Givan Ave Bronx NY 10469-2924 | |
(347) 449-5936 | |
(347) 449-5937 |
Full Name | Gevans Medical Practice P.c |
---|---|
Speciality | Internal Medicine |
Location | 1280 Givan Ave, Bronx, New York |
Authorized Official Name and Position | George Evans Owusu (MEDICAL DIRECTOR) |
Authorized Official Contact | 9173859399 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gevans Medical Practice P.c 1280 Givan Ave Bronx NY 10469-2924 Ph: (347) 449-5936 | Gevans Medical Practice P.c 1280 Givan Ave Bronx NY 10469-2924 Ph: (347) 449-5936 |
NPI Number | 1538300934 |
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Provider Enumeration Date | 03/13/2009 |
Last Update Date | 03/13/2009 |
Medicare PECOS PAC ID | 4688723711 |
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Medicare Enrollment ID | O20090520000558 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538300934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 232053 (New York) | Primary |
282N00000X | General Acute Care Hospital | 232053 (New York) | Secondary |
Provider Name | George E Owusu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225115314 PECOS PAC ID: 6709849201 Enrollment ID: I20041105000510 |
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