North Broadway Internal Medicine Pc | |
970 N Broadway Suite 310 Yonkers NY 10701-1309 | |
(914) 966-1430 | |
(914) 595-4982 |
Full Name | North Broadway Internal Medicine Pc |
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Speciality | Internal Medicine |
Location | 970 N Broadway, Yonkers, New York |
Authorized Official Name and Position | Cain Ranjan (PRESIDENT) |
Authorized Official Contact | 9149661430 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Broadway Internal Medicine Pc 970 N Broadway Suite 310 Yonkers NY 10701-1309 Ph: (914) 966-1430 | North Broadway Internal Medicine Pc 970 N Broadway Suite 310 Yonkers NY 10701-1309 Ph: (914) 966-1430 |
NPI Number | 1699930743 |
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Provider Enumeration Date | 07/28/2008 |
Last Update Date | 07/28/2008 |
Medicare PECOS PAC ID | 4082840335 |
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Medicare Enrollment ID | O20131115001048 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699930743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Cain Ranjan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750487336 PECOS PAC ID: 5294727475 Enrollment ID: I20040330001171 |
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