| Multi Medic Physicians Services | |
|
1070 Southern Blvd Bronx NY 10459-3268 | |
| (718) 589-4541 | |
| (718) 893-8511 |
| Full Name | Multi Medic Physicians Services |
|---|---|
| Speciality | Family Medicine |
| Location | 1070 Southern Blvd, Bronx, New York |
| Authorized Official Name and Position | Samuel A Deleon (PRESIDENT) |
| Authorized Official Contact | 7185894541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multi Medic Physicians Services 1070 Southern Blvd Bronx NY 10459-3268 Ph: (718) 589-4541 | Multi Medic Physicians Services 1070 Southern Blvd Bronx NY 10459-3268 Ph: (718) 589-4541 |
| NPI Number | 1487051207 |
|---|---|
| Provider Enumeration Date | 11/21/2014 |
| Last Update Date | 04/22/2015 |
| Medicare PECOS PAC ID | 9436461399 |
|---|---|
| Medicare Enrollment ID | O20150707000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487051207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 186141 (New York) | Primary |
| Provider Name | Elisabeth M Alexis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336198886 PECOS PAC ID: 5294623567 Enrollment ID: I20040308001298 |
| Provider Name | Janette A Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447355102 PECOS PAC ID: 8729970074 Enrollment ID: I20040330000118 |
| Provider Name | Dennis Blanchette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336108083 PECOS PAC ID: 2668462136 Enrollment ID: I20040517000146 |
| Provider Name | Samuel A Deleon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770589111 PECOS PAC ID: 4183608839 Enrollment ID: I20040617001694 |
| Provider Name | Kenneth John Herwig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205932415 PECOS PAC ID: 6406814771 Enrollment ID: I20050103000878 |
| Provider Name | Jack L Baldassare |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225070121 PECOS PAC ID: 5890777205 Enrollment ID: I20050108000082 |
| Provider Name | Parvis Behfarin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285754176 PECOS PAC ID: 6305885732 Enrollment ID: I20050427000030 |
| Provider Name | Shan Nagendra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164533659 PECOS PAC ID: 2062467442 Enrollment ID: I20050526000575 |
| Provider Name | Trecia M Doyle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407981442 PECOS PAC ID: 1951335587 Enrollment ID: I20051018000979 |
| Provider Name | Morey Klein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245218619 PECOS PAC ID: 8527080852 Enrollment ID: I20051229000451 |
| Provider Name | Aasha S Gopal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306809579 PECOS PAC ID: 8527160936 Enrollment ID: I20070302000190 |
| Provider Name | Roy Shanon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285723791 PECOS PAC ID: 3173799566 Enrollment ID: I20120106000303 |
| Provider Name | Omar Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831517002 PECOS PAC ID: 9436466471 Enrollment ID: I20150923001953 |
| Provider Name | Pramod Sanghi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285845370 PECOS PAC ID: 0547354003 Enrollment ID: I20151005002185 |
| Provider Name | Terrance Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053350389 PECOS PAC ID: 1254389091 Enrollment ID: I20151214001171 |
| Provider Name | Corey K Goldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467482331 PECOS PAC ID: 3274602941 Enrollment ID: I20160629001096 |
| Provider Name | Pavel Odintsov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073893178 PECOS PAC ID: 1557509775 Enrollment ID: I20170207000327 |
| Provider Name | Carl Gastanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821581141 PECOS PAC ID: 8921351438 Enrollment ID: I20181031001257 |
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