| Neighborhood Medical Pc | |
|
1343 Webster Ave Bronx NY 10456-1805 | |
| (917) 453-8417 | |
| (917) 471-9216 |
| Full Name | Neighborhood Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1343 Webster Ave, Bronx, New York |
| Authorized Official Name and Position | Moryam Ladotun (PRESIDENT) |
| Authorized Official Contact | 9174538417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Medical Pc Po Box 1607 West Babylon NY 11704-0607 Ph: (917) 453-8417 | Neighborhood Medical Pc 1343 Webster Ave Bronx NY 10456-1805 Ph: (917) 453-8417 |
| NPI Number | 1427654292 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 09/11/2024 |
| Medicare PECOS PAC ID | 0648673665 |
|---|---|
| Medicare Enrollment ID | O20210728000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427654292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Moryam Ladotun |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295901098 PECOS PAC ID: 3375702186 Enrollment ID: I20120315000009 |
| Provider Name | Maria Charisma Garcia Sy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336360437 PECOS PAC ID: 4082838883 Enrollment ID: I20140618000971 |
| Provider Name | Ayodele O Atolagbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255686085 PECOS PAC ID: 7315240298 Enrollment ID: I20160311001227 |
| Provider Name | Prajakta Mayekar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194242156 PECOS PAC ID: 6103192059 Enrollment ID: I20180710000547 |
| Provider Name | Samantha Jean-francois |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366817116 PECOS PAC ID: 7517364375 Enrollment ID: I20210921001493 |
| Provider Name | Stacey Rymer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750937918 PECOS PAC ID: 0042617706 Enrollment ID: I20210922001916 |
| Provider Name | Claudine Petit |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215476361 PECOS PAC ID: 4981095015 Enrollment ID: I20211229000380 |
| Provider Name | Rukayat Adebusola Ladotun |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356099709 PECOS PAC ID: 2264829456 Enrollment ID: I20220418000443 |
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