| Marcelo C. Laiz, Md, Pc | |
|
140 Lockwood Avenue Suite 203 New Rochelle NY 10801-4908 | |
| (914) 636-6330 | |
| (914) 636-1407 |
| Full Name | Marcelo C. Laiz, Md, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 Lockwood Avenue, New Rochelle, New York |
| Authorized Official Name and Position | Marcelo Cruz Laiz (PRESIDENT) |
| Authorized Official Contact | 9146366330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcelo C. Laiz, Md, Pc 140 Lockwood Avenue Suite 203 New Rochelle NY 10801-4908 Ph: (914) 636-6330 | Marcelo C. Laiz, Md, Pc 140 Lockwood Avenue Suite 203 New Rochelle NY 10801-4908 Ph: (914) 636-6330 |
| NPI Number | 1407116734 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Medicare PECOS PAC ID | 0042473142 |
|---|---|
| Medicare Enrollment ID | O20120530000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407116734 | NPI | - | NPPES |
| 01274579 | Medicaid | NY | |
| 183891 | Other | NY | UNITED HEALTHCARE, COMMERCIAL CLAIMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 183891 (New York) | Primary |
| Provider Name | Marcelo Cruz Laiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558406967 PECOS PAC ID: 1951564053 Enrollment ID: I20120530000547 |
Mount Vernon Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Memorial Hwy, Suite 1-4, New Rochelle, NY 10801 Phone: 914-633-5700 Fax: 914-633-0446 | |
Ira J. Sutton Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Quaker Ridge Rd, Suite 101, New Rochelle, NY 10804 Phone: 914-636-0077 Fax: 914-636-5116 | |
Nathan Rosenfeld M.d. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Lockwood Ave, New Rochelle, NY 10801 Phone: 914-636-4030 Fax: 914-636-4095 | |
Phyllis Mandel Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Lockwood Ave, Suite 16, New Rochelle, NY 10801 Phone: 914-235-2352 Fax: 914-235-3763 | |
Montefiore At 150 Lockwood Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Lockwood Ave, New Rochelle, NY 10801 Phone: 914-633-7870 | |
Metro Med Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 466 Main St, New Rochelle, NY 10801 Phone: 914-633-1020 Fax: 914-633-3235 | |
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