| Onecare Health Llc | |
|
23 Four Corners Rd Staten Island NY 10304-1217 | |
| (347) 494-9272 | |
| Not Available |
| Full Name | Onecare Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23 Four Corners Rd, Staten Island, New York |
| Authorized Official Name and Position | Carlos M Barrera (CEO) |
| Authorized Official Contact | 3474949272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Onecare Health Llc 23 Four Corners Rd Staten Island NY 10304-1217 Ph: (347) 494-9272 | Onecare Health Llc 23 Four Corners Rd Staten Island NY 10304-1217 Ph: (347) 494-9272 |
| NPI Number | 1508453507 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 12/23/2020 |
| Medicare PECOS PAC ID | 4789098211 |
|---|---|
| Medicare Enrollment ID | O20210125002480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508453507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Timothy A Aldrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194212522 PECOS PAC ID: 5193151934 Enrollment ID: I20200214000374 |
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