| Patriot Medical Nyc Pc | |
|
4499 Manhattan College Pkwy Bronx NY 10471-3919 | |
| (914) 505-6142 | |
| Not Available |
| Full Name | Patriot Medical Nyc Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4499 Manhattan College Pkwy, Bronx, New York |
| Authorized Official Name and Position | Samy Saker (CEO) |
| Authorized Official Contact | 9147094858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patriot Medical Nyc Pc 838 Fair St Carmel NY 10512-3085 Ph: (914) 236-4121 | Patriot Medical Nyc Pc 4499 Manhattan College Pkwy Bronx NY 10471-3919 Ph: (914) 505-6142 |
| NPI Number | 1083454870 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Medicare PECOS PAC ID | 2567908924 |
|---|---|
| Medicare Enrollment ID | O20240722001534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083454870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Soodabeh Zolfaghari |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396907689 PECOS PAC ID: 7214109107 Enrollment ID: I20111019000543 |
| Provider Name | Samy Saker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134413172 PECOS PAC ID: 2062779234 Enrollment ID: I20180530001322 |
| Provider Name | Rinku Barot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558974386 PECOS PAC ID: 9638588734 Enrollment ID: I20210430001300 |
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