| Michael Malotz Skilled Nursing Pavillion | |
|
120 Odell Ave Yonkers NY 10701-1408 | |
| (914) 964-3333 | |
| (914) 964-4726 |
| Full Name | Michael Malotz Skilled Nursing Pavillion |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 Odell Ave, Yonkers, New York |
| Authorized Official Name and Position | Sherwin Chue (VICE PRESIDENT / CFO) |
| Authorized Official Contact | 9149644723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Malotz Skilled Nursing Pavillion 120 Odell Ave Yonkers NY 10701-1408 Ph: (914) 964-3333 | Michael Malotz Skilled Nursing Pavillion 120 Odell Ave Yonkers NY 10701-1408 Ph: (914) 964-3333 |
| NPI Number | 1104157866 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 08/23/2010 |
| Medicare PECOS PAC ID | 3274445820 |
|---|---|
| Medicare Enrollment ID | O20031104000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104157866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph J Brill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811933088 PECOS PAC ID: 2264344704 Enrollment ID: I20031103000492 |
| Provider Name | Robert E Dematteo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083610125 PECOS PAC ID: 5092627554 Enrollment ID: I20031103000557 |
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