| Jessica Allan Md Pc | |
|
333 W 57th St Apt 104 Suite 4a New York NY 10019-3115 | |
| (212) 247-6358 | |
| Not Available |
| Full Name | Jessica Allan Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 W 57th St Apt 104, New York, New York |
| Authorized Official Name and Position | Bill Tomic (EXEC. DIR.) |
| Authorized Official Contact | 2122476358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Allan Md Pc 219 W 16th St Apt 3d 10011-6029 New York NY 10011-6029 Ph: (212) 247-6358 | Jessica Allan Md Pc 333 W 57th St Apt 104 Suite 4a New York NY 10019-3115 Ph: (212) 247-6358 |
| NPI Number | 1427225689 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 12/15/2014 |
| Medicare PECOS PAC ID | 7810068467 |
|---|---|
| Medicare Enrollment ID | O20080625000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427225689 | NPI | - | NPPES |
| 1265564751 | Other | NY | INDIVIDUAL NPI |
| 1427225689 | Other | NY | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 221655 (New York) | Primary |
| Provider Name | Jessica M Allan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265564751 PECOS PAC ID: 2466485206 Enrollment ID: I20050913000858 |
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