| Perry Medical Group Of New Jersey Pa | |
|
150 W 22nd St Fl 8 New York NY 10011-6557 | |
| (646) 809-4094 | |
| Not Available |
| Full Name | Perry Medical Group Of New Jersey Pa |
|---|---|
| Speciality | General Practice |
| Location | 150 W 22nd St Fl 8, New York, New York |
| Authorized Official Name and Position | Phat Nguyen (DIRECTOR, RCM) |
| Authorized Official Contact | 2064124766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Medical Group Of New Jersey Pa 1 Sansome St St 3500 San Francisco CA 94104-4448 Ph: () - | Perry Medical Group Of New Jersey Pa 150 W 22nd St Fl 8 New York NY 10011-6557 Ph: (646) 809-4094 |
| NPI Number | 1114595592 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 0648646240 |
|---|---|
| Medicare Enrollment ID | O20221024001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114595592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Avinash Ravilla |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376926063 PECOS PAC ID: 2062749427 Enrollment ID: I20210804003959 |
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Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
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