| Jonathan Selzer Md Pc | |
|
2735 Henry Hudson Parkway Suite 202 Bronx NY 10463 | |
| (718) 884-2300 | |
| (718) 884-0843 |
| Full Name | Jonathan Selzer Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2735 Henry Hudson Parkway, Bronx, New York |
| Authorized Official Name and Position | Jonathan Selzer (PRESIDENT) |
| Authorized Official Contact | 7188842300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Selzer Md Pc 2735 Henry Hudson Parkway Suite 202 Bronx NY 10463 Ph: (718) 884-2300 | Jonathan Selzer Md Pc 2735 Henry Hudson Parkway Suite 202 Bronx NY 10463 Ph: (718) 884-2300 |
| NPI Number | 1740334614 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 01/09/2014 |
| Medicare PECOS PAC ID | 3971650722 |
|---|---|
| Medicare Enrollment ID | O20090424000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740334614 | NPI | - | NPPES |
| 01704654 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 187582 (New York) | Primary |
| Provider Name | Jonathan Selzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265404271 PECOS PAC ID: 5799712162 Enrollment ID: I20050719000021 |
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