| Metropolitan New York Medicine & Infectious Diseases, P.c. | |
|
337 Kimball Ave Yonkers NY 10704-3032 | |
| (914) 338-7534 | |
| (914) 338-7537 |
| Full Name | Metropolitan New York Medicine & Infectious Diseases, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 337 Kimball Ave, Yonkers, New York |
| Authorized Official Name and Position | Jose Tadeo Bonoan (PRESIDENT) |
| Authorized Official Contact | 9143387534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan New York Medicine & Infectious Diseases, P.c. Po Box 351 Dobbs Ferry NY 10522-0351 Ph: (914) 338-7534 | Metropolitan New York Medicine & Infectious Diseases, P.c. 337 Kimball Ave Yonkers NY 10704-3032 Ph: (914) 338-7534 |
| NPI Number | 1508906777 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 03/15/2010 |
| Medicare PECOS PAC ID | 9739070517 |
|---|---|
| Medicare Enrollment ID | O20090625000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508906777 | NPI | - | NPPES |
| N81758 | Other | HEALTHNET | |
| 2512720 | Other | NY | GHI |
| 2813319 | Other | AETNA | |
| 202436 | Other | NY | HIP |
| 2X0703 | Other | NY | EMPIRE BLUE CROSS BLUE SH |
| P00033933 | Other | RAILROAD MEDICARE | |
| P2579806 | Other | OXFORD | |
| 02957495 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 202436 (New York) | Primary |
| Provider Name | Jose Tadeo M Bonoan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255312518 PECOS PAC ID: 5991799124 Enrollment ID: I20040412000905 |
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