Madison Physician Practice Pc | |
983 Park Ave # 1d New York NY 10028-0808 | |
(212) 427-8761 | |
(212) 427-8762 |
Full Name | Madison Physician Practice Pc |
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Speciality | Family Medicine |
Location | 983 Park Ave # 1d, New York, New York |
Authorized Official Name and Position | Angela Laza (BILLING MANAGER) |
Authorized Official Contact | 6463510911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Madison Physician Practice Pc 983 Park Ave Ste 1d New York NY 10028-0808 Ph: (212) 427-8761 | Madison Physician Practice Pc 983 Park Ave # 1d New York NY 10028-0808 Ph: (212) 427-8761 |
NPI Number | 1194206441 |
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Provider Enumeration Date | 08/24/2018 |
Last Update Date | 08/24/2018 |
Medicare PECOS PAC ID | 0547705600 |
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Medicare Enrollment ID | O20240712001642 |
Identifier | Type | State | Issuer |
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1194206441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Howard P Reynolds |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1891870366 PECOS PAC ID: 5092799924 Enrollment ID: I20040616001609 |
Provider Name | Gerald Y Park |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1386842540 PECOS PAC ID: 5294913224 Enrollment ID: I20150903002821 |
Provider Name | Gem M Manalo |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1932604121 PECOS PAC ID: 7618219221 Enrollment ID: I20230609001392 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
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Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
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Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |