Pelham Bay Community Medical, Pc | |
3859 East Tremont Avenue Bronx NY 10465 | |
(718) 828-3906 | |
(516) 620-4246 |
Full Name | Pelham Bay Community Medical, Pc |
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Speciality | Internal Medicine |
Location | 3859 East Tremont Avenue, Bronx, New York |
Authorized Official Name and Position | Enrico F D'angelo (MEDICAL DIRECTOR) |
Authorized Official Contact | 5166204546 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pelham Bay Community Medical, Pc 7 Center Dr Douglaston NY 11363-1213 Ph: (516) 620-4246 | Pelham Bay Community Medical, Pc 3859 East Tremont Avenue Bronx NY 10465 Ph: (718) 828-3906 |
NPI Number | 1154673630 |
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Provider Enumeration Date | 10/09/2012 |
Last Update Date | 10/09/2012 |
Medicare PECOS PAC ID | 6305069592 |
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Medicare Enrollment ID | O20140515000463 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154673630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Enrico F Dangelo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316030364 PECOS PAC ID: 4082809314 Enrollment ID: I20101112000457 |
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