| Rye Family Practice Pc | |
|
692 W 204th St New York NY 10034-3027 | |
| (646) 329-6490 | |
| Not Available |
| Full Name | Rye Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 692 W 204th St, New York, New York |
| Authorized Official Name and Position | Robert Samaniego (OWNER) |
| Authorized Official Contact | 7189307030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rye Family Practice Pc 692 W 204th St New York NY 10034-3027 Ph: (646) 329-6490 | Rye Family Practice Pc 692 W 204th St New York NY 10034-3027 Ph: (646) 329-6490 |
| NPI Number | 1578770459 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 06/04/2020 |
| Medicare PECOS PAC ID | 9739355165 |
|---|---|
| Medicare Enrollment ID | O20120105000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578770459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert Samaniego |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083632392 PECOS PAC ID: 2062326929 Enrollment ID: I20031114000389 |
| Provider Name | Raul Alberto Ulloa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841330107 PECOS PAC ID: 9436113776 Enrollment ID: I20041116000720 |
| Provider Name | Ruby Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407265580 PECOS PAC ID: 9133349046 Enrollment ID: I20140926002231 |
| Provider Name | Jean-carlos Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801154455 PECOS PAC ID: 2567790454 Enrollment ID: I20200819001914 |
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 |