Ml Gastroenterology Pllc | |
77 Pondfield Rd Ste Gfl2 Bronxville NY 10708-3809 | |
(914) 704-4300 | |
(914) 704-4301 |
Full Name | Ml Gastroenterology Pllc |
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Speciality | Internal Medicine |
Location | 77 Pondfield Rd Ste Gfl2, Bronxville, New York |
Authorized Official Name and Position | Maria Lufrano (PRESIDENT) |
Authorized Official Contact | 9143295705 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ml Gastroenterology Pllc 600 Mamaroneck Ave Harrison NY 10528-1635 Ph: (914) 329-5705 | Ml Gastroenterology Pllc 77 Pondfield Rd Ste Gfl2 Bronxville NY 10708-3809 Ph: (914) 704-4300 |
NPI Number | 1831630557 |
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Provider Enumeration Date | 03/14/2017 |
Last Update Date | 08/04/2023 |
Medicare PECOS PAC ID | 0840562880 |
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Medicare Enrollment ID | O20170825000483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831630557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 251758 (New York) | Primary |
Provider Name | Maria Lufrano |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1639326424 PECOS PAC ID: 6204087000 Enrollment ID: I20121102000379 |
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