| Morero-mardach Medical Group Pc | |
|
149 St.nicholas Ave Brooklyn NY 11237 | |
| (718) 366-1583 | |
| (718) 386-0080 |
| Full Name | Morero-mardach Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 149 St.nicholas Ave, Brooklyn, New York |
| Authorized Official Name and Position | Vanna G Morero (OWNER) |
| Authorized Official Contact | 7183661583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morero-mardach Medical Group Pc 149 St.nicholas Ave Brooklyn NY 11237 Ph: (718) 366-1583 | Morero-mardach Medical Group Pc 149 St.nicholas Ave Brooklyn NY 11237 Ph: (718) 366-1583 |
| NPI Number | 1679775159 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 08/08/2008 |
| Medicare PECOS PAC ID | 8527031764 |
|---|---|
| Medicare Enrollment ID | O20040817000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679775159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 225309 (New York) | Primary |
| Provider Name | Vanna G Morero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710947122 PECOS PAC ID: 6103801006 Enrollment ID: I20040623001398 |
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