Kerestir Health Llc | |
501 State Route 208 Monroe NY 10950-1611 | |
(718) 534-0689 | |
Not Available |
Full Name | Kerestir Health Llc |
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Speciality | Clinic/Center |
Location | 501 State Route 208, Monroe, New York |
Authorized Official Name and Position | Yoel Shtosel (OWNER) |
Authorized Official Contact | 7185340689 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kerestir Health Llc 501 State Route 208 Monroe NY 10950-1611 Ph: () - | Kerestir Health Llc 501 State Route 208 Monroe NY 10950-1611 Ph: (718) 534-0689 |
NPI Number | 1528807732 |
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Provider Enumeration Date | 05/20/2024 |
Last Update Date | 05/20/2024 |
Medicare PECOS PAC ID | 2163966755 |
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Medicare Enrollment ID | O20240708001500 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528807732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Yechiel Zagelbaum |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1558452730 PECOS PAC ID: 3870671738 Enrollment ID: I20230130000288 |
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