| James A Underberg Md Pllc | |
|
110 E 55th St Fl 9 New York NY 10022-4540 | |
| (212) 207-1959 | |
| (855) 860-3844 |
| Full Name | James A Underberg Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 E 55th St Fl 9, New York, New York |
| Authorized Official Name and Position | James A Underberg (PROPRIETOR/OWNER) |
| Authorized Official Contact | 9178801420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James A Underberg Md Pllc 136 E 56th St Apt 9a New York NY 10022-0901 Ph: (212) 207-1959 | James A Underberg Md Pllc 110 E 55th St Fl 9 New York NY 10022-4540 Ph: (212) 207-1959 |
| NPI Number | 1700429784 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 12/11/2019 |
| Medicare PECOS PAC ID | 8921435850 |
|---|---|
| Medicare Enrollment ID | O20200305000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700429784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | James A Underberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538167127 PECOS PAC ID: 2668468760 Enrollment ID: I20040423000355 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
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