| Neighborhood Family Medical Services Pc | |
|
43 E 167th St Bronx NY 10452-8206 | |
| (718) 992-2128 | |
| (718) 588-2045 |
| Full Name | Neighborhood Family Medical Services Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 43 E 167th St, Bronx, New York |
| Authorized Official Name and Position | Tamara Nicole Richardson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9142043938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Family Medical Services Pc 43 E 167th St Bronx NY 10452-8206 Ph: (718) 992-2128 | Neighborhood Family Medical Services Pc 43 E 167th St Bronx NY 10452-8206 Ph: (718) 992-2128 |
| NPI Number | 1124632799 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 09/01/2020 |
| Medicare PECOS PAC ID | 6709296965 |
|---|---|
| Medicare Enrollment ID | O20201029002721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124632799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tamara Nicole Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952795619 PECOS PAC ID: 4385981745 Enrollment ID: I20200114003198 |
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