Nyc Primary Medical Care Pc | |
310 E 14th St New York NY 10003-4201 | |
(212) 979-4204 | |
(212) 979-4415 |
Full Name | Nyc Primary Medical Care Pc |
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Speciality | Family Medicine |
Location | 310 E 14th St, New York, New York |
Authorized Official Name and Position | Mahyar Eidgah (OWNER) |
Authorized Official Contact | 2129794204 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nyc Primary Medical Care Pc 310 E 14th St New York NY 10003-4201 Ph: (212) 979-4204 | Nyc Primary Medical Care Pc 310 E 14th St New York NY 10003-4201 Ph: (212) 979-4204 |
NPI Number | 1467984500 |
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Provider Enumeration Date | 03/29/2017 |
Last Update Date | 03/29/2017 |
Medicare PECOS PAC ID | 1052377140 |
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Medicare Enrollment ID | O20041228000977 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467984500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 232944 (New York) | Primary |
Provider Name | Mahyar Eidgah |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710023601 PECOS PAC ID: 5294791836 Enrollment ID: I20041206000999 |
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 | |
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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 | |
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