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240 W 37th St Fl 5 New York NY 10018-5787 | |
(917) 268-8951 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 240 W 37th St Fl 5, New York, New York |
Authorized Official Name and Position | Joshua Engle (OWNER,CEO) |
Authorized Official Contact | 9294696556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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240 W 37th St Fl 5 New York NY 10018-5787 Ph: (917) 268-8951 | 240 W 37th St Fl 5 New York NY 10018-5787 Ph: (917) 268-8951 |
NPI Number | 1033985924 |
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Provider Enumeration Date | 11/30/2023 |
Last Update Date | 08/13/2024 |
Medicare PECOS PAC ID | 0749721215 |
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Medicare Enrollment ID | O20240924002950 |
Identifier | Type | State | Issuer |
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1033985924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Anish Y Desai |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1104321140 PECOS PAC ID: 8820332281 Enrollment ID: I20211108001706 |
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