Mylaurel Medical Group Fl, Pllc | |
885 3rd Ave Fl 29 New York NY 10022-4834 | |
(504) 475-1283 | |
Not Available |
Full Name | Mylaurel Medical Group Fl, Pllc |
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Speciality | General Practice |
Location | 885 3rd Ave Fl 29, New York, New York |
Authorized Official Name and Position | Leslie Baldridge (CREDENTIALING) |
Authorized Official Contact | 7024176255 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mylaurel Medical Group Fl, Pllc 885 3rd Ave Fl 29 New York NY 10022-4834 Ph: (504) 475-1283 | Mylaurel Medical Group Fl, Pllc 885 3rd Ave Fl 29 New York NY 10022-4834 Ph: (504) 475-1283 |
NPI Number | 1134749146 |
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Provider Enumeration Date | 04/20/2020 |
Last Update Date | 02/12/2024 |
Medicare PECOS PAC ID | 6901220714 |
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Medicare Enrollment ID | O20200727000016 |
Identifier | Type | State | Issuer |
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1134749146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Benjamin Craxton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063941433 PECOS PAC ID: 4284065426 Enrollment ID: I20240429000827 |
Provider Name | Marcy Gleit Carty |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326038928 PECOS PAC ID: 6103844725 Enrollment ID: I20240521002166 |
Provider Name | Kimberly Jean Santee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972193183 PECOS PAC ID: 1456767102 Enrollment ID: I20240524001842 |
Provider Name | Gina Grace Puglisi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366472011 PECOS PAC ID: 3375574312 Enrollment ID: I20240524001980 |
Provider Name | Esteban P Rojas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518611573 PECOS PAC ID: 7315314408 Enrollment ID: I20240528000383 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
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 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |