| Park Avenue Medical Family Practice & Geriatrics, Pc | |
|
102 Park Ave Yonkers NY 10703-2934 | |
| (914) 965-4300 | |
| (914) 965-7625 |
| Full Name | Park Avenue Medical Family Practice & Geriatrics, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 Park Ave, Yonkers, New York |
| Authorized Official Name and Position | Aaron Felder (OFFICE MANAGER) |
| Authorized Official Contact | 9149654300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Medical Family Practice & Geriatrics, Pc 102 Park Ave Yonkers NY 10703-2934 Ph: (914) 965-4300 | Park Avenue Medical Family Practice & Geriatrics, Pc 102 Park Ave Yonkers NY 10703-2934 Ph: (914) 965-4300 |
| NPI Number | 1912179110 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 09/06/2019 |
| Medicare PECOS PAC ID | 5799856530 |
|---|---|
| Medicare Enrollment ID | O20080620000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912179110 | NPI | - | NPPES |
| 01019209 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 148454 (New York) | Primary |
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