| Riverside Family Medicine, Pc | |
|
6585 Broadway Bronx NY 10471-2050 | |
| (914) 227-1743 | |
| Not Available |
| Full Name | Riverside Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6585 Broadway, Bronx, New York |
| Authorized Official Name and Position | Fadi Sayegh (CEO/OWNER) |
| Authorized Official Contact | 9142271743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Family Medicine, Pc 36 N Broadway Yonkers NY 10701-2793 Ph: () - | Riverside Family Medicine, Pc 6585 Broadway Bronx NY 10471-2050 Ph: (914) 227-1743 |
| NPI Number | 1295515856 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 8527505361 |
|---|---|
| Medicare Enrollment ID | O20240730001256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295515856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carol A Celona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619915386 PECOS PAC ID: 2668401498 Enrollment ID: I20050811000460 |
| Provider Name | Paula Sims |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740364975 PECOS PAC ID: 3678746492 Enrollment ID: I20111024000085 |
| Provider Name | Fadi Sayegh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447647607 PECOS PAC ID: 9436488756 Enrollment ID: I20190912000602 |
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