| Medassist Md Corp | |
|
747 Chestnut Ridge Rd Ste 206 Spring Valley NY 10977-6225 | |
| (845) 377-6670 | |
| Not Available |
| Full Name | Medassist Md Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 747 Chestnut Ridge Rd Ste 206, Spring Valley, New York |
| Authorized Official Name and Position | Chava Ellinson (DIRECTOR) |
| Authorized Official Contact | 8453776670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medassist Md Corp 747 Chestnut Ridge Rd Ste 206 Spring Valley NY 10977-6225 Ph: (845) 377-6670 | Medassist Md Corp 747 Chestnut Ridge Rd Ste 206 Spring Valley NY 10977-6225 Ph: (845) 377-6670 |
| NPI Number | 1730868688 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Medicare PECOS PAC ID | 9436511979 |
|---|---|
| Medicare Enrollment ID | O20230815001719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730868688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Wanda Jean Simmons-clemmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275615775 PECOS PAC ID: 3779640420 Enrollment ID: I20111118000316 |
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