| Godwin Medical Pc | |
|
3054 Godwin Ter Suite A Bronx NY 10463-5312 | |
| (347) 587-4020 | |
| Not Available |
| Full Name | Godwin Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3054 Godwin Ter, Bronx, New York |
| Authorized Official Name and Position | Luisa Altagracia Perez (INTERNAL MEDICINE DOCTOR) |
| Authorized Official Contact | 3475874020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Godwin Medical Pc 3054 Godwin Ter Suite A Bronx NY 10463-5312 Ph: (347) 587-4020 | Godwin Medical Pc 3054 Godwin Ter Suite A Bronx NY 10463-5312 Ph: (347) 587-4020 |
| NPI Number | 1679749808 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Medicare PECOS PAC ID | 2961542147 |
|---|---|
| Medicare Enrollment ID | O20091218000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679749808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 237247 (New York) | Primary |
| Provider Name | Luisa A Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194719419 PECOS PAC ID: 0244254605 Enrollment ID: I20060124000895 |
| Provider Name | Maria D Mejia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992943914 PECOS PAC ID: 4688992134 Enrollment ID: I20170629001505 |
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