Medcareplus, Pllc | |
1643 Westchester Ave Bronx NY 10472-2916 | |
(718) 328-1900 | |
(718) 328-1901 |
Full Name | Medcareplus, Pllc |
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Speciality | Clinic/Center |
Location | 1643 Westchester Ave, Bronx, New York |
Authorized Official Name and Position | Alseny Balde (MANAGER) |
Authorized Official Contact | 5025729990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medcareplus, Pllc 96 Kensington Mnr Middletown NY 10941-1800 Ph: (502) 572-9990 | Medcareplus, Pllc 1643 Westchester Ave Bronx NY 10472-2916 Ph: (718) 328-1900 |
NPI Number | 1265720221 |
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Provider Enumeration Date | 07/12/2011 |
Last Update Date | 07/12/2011 |
Medicare PECOS PAC ID | 8527236777 |
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Medicare Enrollment ID | O20110714000488 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265720221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 250592 (New York) | Primary |
Provider Name | Alseny Balde |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215004536 PECOS PAC ID: 6204932163 Enrollment ID: I20081216000075 |
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