| Mskcc Integrative Medicine Group | |
|
1275 York Ave New York NY 10021-6007 | |
| (646) 227-3813 | |
| Not Available |
| Full Name | Mskcc Integrative Medicine Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1275 York Ave, New York, New York |
| Authorized Official Name and Position | Charles A Ryke (MANAGER) |
| Authorized Official Contact | 6462273650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mskcc Integrative Medicine Group 633 3rd Ave Box 3 New York NY 10017-6706 Ph: () - | Mskcc Integrative Medicine Group 1275 York Ave New York NY 10021-6007 Ph: (646) 227-3813 |
| NPI Number | 1558332189 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3072694322 |
|---|---|
| Medicare Enrollment ID | O20080114000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558332189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary E Deng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780655233 PECOS PAC ID: 5294720652 Enrollment ID: I20040416000326 |
| Provider Name | Nirupa J Raghunathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982846564 PECOS PAC ID: 7719120641 Enrollment ID: I20130826000319 |
| Provider Name | Shelly Latte-naor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356503346 PECOS PAC ID: 9133362684 Enrollment ID: I20130830000559 |
| Provider Name | Ting Bao |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225174949 PECOS PAC ID: 7012068588 Enrollment ID: I20140620001994 |
| Provider Name | Eugenie Ann Spiguel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477855997 PECOS PAC ID: 4082938105 Enrollment ID: I20150121000662 |
| Provider Name | Alyona V Weinstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366714115 PECOS PAC ID: 3173840675 Enrollment ID: I20150321000142 |
| Provider Name | Jun J Mao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821033580 PECOS PAC ID: 4880780386 Enrollment ID: I20160721001350 |
| Provider Name | Kevin T Liou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093102097 PECOS PAC ID: 3476880832 Enrollment ID: I20190807002346 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |