| O.b. Adult Health Nurse Practitioner Services Pc | |
|
209 Broad St Staten Island NY 10304-2105 | |
| (917) 374-9180 | |
| (718) 448-7263 |
| Full Name | O.b. Adult Health Nurse Practitioner Services Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 209 Broad St, Staten Island, New York |
| Authorized Official Name and Position | Olasunkanmi Bhadmus (ASSISTANT DIRECTOR) |
| Authorized Official Contact | 9173749180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| O.b. Adult Health Nurse Practitioner Services Pc 224 Osgood Ave Staten Island NY 10304-3607 Ph: () - | O.b. Adult Health Nurse Practitioner Services Pc 209 Broad St Staten Island NY 10304-2105 Ph: (917) 374-9180 |
| NPI Number | 1164933487 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 11/02/2018 |
| Medicare PECOS PAC ID | 4880948553 |
|---|---|
| Medicare Enrollment ID | O20181115001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164933487 | NPI | - | NPPES |
| Provider Name | Panagiotis Zenetos |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1548200967 PECOS PAC ID: 2567457856 Enrollment ID: I20040416000573 |
| Provider Name | Richard P Friedlander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528054137 PECOS PAC ID: 7618937673 Enrollment ID: I20041014000256 |
| Provider Name | Marlene Charles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629011333 PECOS PAC ID: 1557536612 Enrollment ID: I20111219000790 |
| Provider Name | Olasunkanmi Bhadmus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417263328 PECOS PAC ID: 5597051508 Enrollment ID: I20160830003217 |
| Provider Name | Muftau G Bello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932509767 PECOS PAC ID: 3577823194 Enrollment ID: I20180130001860 |
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