| Internal Medicine Of Throggs Neck | |
|
3713 East Tremont Avenue Bronx NY 10465 | |
| (718) 822-4262 | |
| (718) 824-6368 |
| Full Name | Internal Medicine Of Throggs Neck |
|---|---|
| Speciality | Internal Medicine |
| Location | 3713 East Tremont Avenue, Bronx, New York |
| Authorized Official Name and Position | Paul M Bisson (PHYSICIAN PARTNER) |
| Authorized Official Contact | 7188224262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Throggs Neck 3713 East Tremont Avenue Bronx NY 10465 Ph: (718) 822-4262 | Internal Medicine Of Throggs Neck 3713 East Tremont Avenue Bronx NY 10465 Ph: (718) 822-4262 |
| NPI Number | 1831269992 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 07/15/2013 |
| Medicare PECOS PAC ID | 4688842925 |
|---|---|
| Medicare Enrollment ID | O20110713000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831269992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 208838 (New York) | Primary |
| Provider Name | Anthony R Avanzato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336354778 PECOS PAC ID: 3577731827 Enrollment ID: I20110713000475 |
| Provider Name | Paul M Bisson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649484163 PECOS PAC ID: 9830367184 Enrollment ID: I20110713000494 |
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