| Infectious Disease Consultant Of Rockland, P.c. | |
|
259 N Middletown Rd Ste 1b Nanuet NY 10954-1220 | |
| (845) 624-4057 | |
| Not Available |
| Full Name | Infectious Disease Consultant Of Rockland, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 259 N Middletown Rd Ste 1b, Nanuet, New York |
| Authorized Official Name and Position | Mahlet Tadele (DR/OWNER) |
| Authorized Official Contact | 9176932243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultant Of Rockland, P.c. 91 E Sunnyside Ln Irvington NY 10533-1016 Ph: () - | Infectious Disease Consultant Of Rockland, P.c. 259 N Middletown Rd Ste 1b Nanuet NY 10954-1220 Ph: (845) 624-4057 |
| NPI Number | 1558838482 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 10/29/2018 |
| Medicare PECOS PAC ID | 4082951819 |
|---|---|
| Medicare Enrollment ID | O20190131002187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558838482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Mahlet Tadele |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770731812 PECOS PAC ID: 9739478868 Enrollment ID: I20180131000664 |
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