Richmond Primary Care Specialists, Pc | |
305 Seguine Ave Suite 1 Staten Island NY 10309-3730 | |
(718) 967-8300 | |
(718) 967-8335 |
Full Name | Richmond Primary Care Specialists, Pc |
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Speciality | General Practice |
Location | 305 Seguine Ave, Staten Island, New York |
Authorized Official Name and Position | Miguel A Tirado (PRESIDENT) |
Authorized Official Contact | 7189678300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Richmond Primary Care Specialists, Pc 305 Seguine Ave Suite 1 Staten Island NY 10309-3730 Ph: (718) 967-8300 | Richmond Primary Care Specialists, Pc 305 Seguine Ave Suite 1 Staten Island NY 10309-3730 Ph: (718) 967-8300 |
NPI Number | 1013048271 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 04/02/2014 |
Medicare PECOS PAC ID | 1658262308 |
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Medicare Enrollment ID | O20040322001954 |
Identifier | Type | State | Issuer |
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1013048271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 211722 (New York) | Primary |
Provider Name | Miguel A Tirado |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922072313 PECOS PAC ID: 5294745113 Enrollment ID: I20060421000291 |
Provider Name | Kathryn Kirpan |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1891778270 PECOS PAC ID: 7214006501 Enrollment ID: I20080513000008 |
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