| New York Remote Medical Pc | |
|
150 W 22nd St Fl 8 New York NY 10011-6557 | |
| (646) 809-4094 | |
| Not Available |
| Full Name | New York Remote Medical Pc |
|---|---|
| Speciality | General Practice |
| Location | 150 W 22nd St Fl 8, New York, New York |
| Authorized Official Name and Position | Phat Nguyen (DIRECTOR, RCM) |
| Authorized Official Contact | 6468094094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Remote Medical Pc 1 Sansome St Ste 3500 San Francisco CA 94104-4436 Ph: (469) 772-9400 | New York Remote Medical Pc 150 W 22nd St Fl 8 New York NY 10011-6557 Ph: (646) 809-4094 |
| NPI Number | 1992425037 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 5395121628 |
|---|---|
| Medicare Enrollment ID | O20221010002648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992425037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Avinash Ravilla |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376926063 PECOS PAC ID: 2062749427 Enrollment ID: I20210804003959 |
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