| N/a | |
|
1727 Amsterdam Ave 4th Floor New York NY 10031-4611 | |
| (212) 862-0054 | |
| (212) 862-5516 |
| Full Name | N/a |
|---|---|
| Speciality | Clinic/Center |
| Location | 1727 Amsterdam Ave, New York, New York |
| Authorized Official Name and Position | Alvaro Jose Simmons (CEO) |
| Authorized Official Contact | 2128620054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 1727 Amsterdam Ave 4th Floor New York NY 10031-4611 Ph: (212) 862-0054 | N/a 1727 Amsterdam Ave 4th Floor New York NY 10031-4611 Ph: (212) 862-0054 |
| NPI Number | 1851414965 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 01/15/2015 |
| Medicare PECOS PAC ID | 2163331620 |
|---|---|
| Medicare Enrollment ID | O20030226000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851414965 | NPI | - | NPPES |
| 00509980 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 7002113R (New York) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7002113R (New York) | Primary |
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 |