| Mb Medical Associates Pc | |
|
8708 Justice Ave Suite C8 Elmhurst NY 11373-4575 | |
| (718) 424-0339 | |
| (718) 424-4868 |
| Full Name | Mb Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8708 Justice Ave, Elmhurst, New York |
| Authorized Official Name and Position | Gustavo Melamedoff (DOCTOR) |
| Authorized Official Contact | 7184240339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mb Medical Associates Pc 8708 Justice Ave Suite C8 Elmhurst NY 11373-4575 Ph: (718) 424-0339 | Mb Medical Associates Pc 8708 Justice Ave Suite C8 Elmhurst NY 11373-4575 Ph: (718) 424-0339 |
| NPI Number | 1568538510 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/08/2008 |
| Medicare PECOS PAC ID | 0941214035 |
|---|---|
| Medicare Enrollment ID | O20060127000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568538510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 148336 (New York) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 130526 (New York) | Primary |
| Provider Name | Daniel A Boccardo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568422913 PECOS PAC ID: 2365456456 Enrollment ID: I20060127000311 |
| Provider Name | Gustavo R Melamedoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558374033 PECOS PAC ID: 3072527167 Enrollment ID: I20060127000326 |
| Provider Name | Sandra Camargo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922396274 PECOS PAC ID: 2264747765 Enrollment ID: I20150812008573 |
| Provider Name | Tiffany M. Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457850893 PECOS PAC ID: 1759615685 Enrollment ID: I20190627000482 |
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