| Richmond Internal Medicine Group, P.c. | |
|
800 Manor Rd Suite 4 Staten Island NY 10314-7034 | |
| (718) 448-6800 | |
| (718) 448-9458 |
| Full Name | Richmond Internal Medicine Group, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Manor Rd, Staten Island, New York |
| Authorized Official Name and Position | Javier N. Chacon (PRESIDENT) |
| Authorized Official Contact | 7184486800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Internal Medicine Group, P.c. 800 Manor Rd Suite 4 Staten Island NY 10314-7034 Ph: (718) 448-6800 | Richmond Internal Medicine Group, P.c. 800 Manor Rd Suite 4 Staten Island NY 10314-7034 Ph: (718) 448-6800 |
| NPI Number | 1053575225 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 12/06/2010 |
| Medicare PECOS PAC ID | 2769452036 |
|---|---|
| Medicare Enrollment ID | O20091209000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053575225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Paolo G Perrone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578525408 PECOS PAC ID: 1850388679 Enrollment ID: I20040426001084 |
| Provider Name | Javier N Chacon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154383008 PECOS PAC ID: 7618968629 Enrollment ID: I20040519000956 |
| Provider Name | Ramy E Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366405763 PECOS PAC ID: 9638181308 Enrollment ID: I20060620000201 |
| Provider Name | Karen L Baez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336368356 PECOS PAC ID: 0143373530 Enrollment ID: I20090803000343 |
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