| Living Well Balanced Nyc Medical Pllc | |
|
180 W 80th St New York NY 10024-6378 | |
| (212) 579-2858 | |
| Not Available |
| Full Name | Living Well Balanced Nyc Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 180 W 80th St, New York, New York |
| Authorized Official Name and Position | Micheline Lataliza Epstein (OWNER) |
| Authorized Official Contact | 2147274564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Balanced Nyc Medical Pllc 180 W 80th St New York NY 10024-6378 Ph: (212) 579-2858 | Living Well Balanced Nyc Medical Pllc 180 W 80th St New York NY 10024-6378 Ph: (212) 579-2858 |
| NPI Number | 1316692379 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 8224424544 |
|---|---|
| Medicare Enrollment ID | O20220413000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316692379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David Levkovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386071470 PECOS PAC ID: 2062648314 Enrollment ID: I20131115000827 |
| Provider Name | Micheline Lataliza Epstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417245382 PECOS PAC ID: 1153640594 Enrollment ID: I20150506000546 |
| Provider Name | Qiqi Zhong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477169365 PECOS PAC ID: 2567882053 Enrollment ID: I20201022001200 |
| Provider Name | Emma Renea Gidley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457928228 PECOS PAC ID: 8022418169 Enrollment ID: I20210611000895 |
| Provider Name | Perry Rogers Ricci |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669634333 PECOS PAC ID: 3375436306 Enrollment ID: I20220831001758 |
| Provider Name | Michael Atunzu |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982302329 PECOS PAC ID: 2264805803 Enrollment ID: I20230302001494 |
| Provider Name | Elizabeth S Opoka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558908459 PECOS PAC ID: 9133593346 Enrollment ID: I20230329001597 |
| Provider Name | Alexis Niccum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306535323 PECOS PAC ID: 4082074414 Enrollment ID: I20230718000823 |
| Provider Name | Mitali Sheth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801585799 PECOS PAC ID: 9830536390 Enrollment ID: I20240320002567 |
| Provider Name | Emily Jq Nolen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407548456 PECOS PAC ID: 9931569217 Enrollment ID: I20240522002032 |
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