| Sports Medicine At Chelsea, Pllc. | |
|
30 W 24th St Fl 2 New York NY 10010-3560 | |
| (212) 366-5100 | |
| (212) 366-6275 |
| Full Name | Sports Medicine At Chelsea, Pllc. |
|---|---|
| Speciality | Family Medicine |
| Location | 30 W 24th St Fl 2, New York, New York |
| Authorized Official Name and Position | Clifford D Stark (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2123665100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sports Medicine At Chelsea, Pllc. 30 W 24th St Fl 2 New York NY 10010-3560 Ph: (212) 366-5100 | Sports Medicine At Chelsea, Pllc. 30 W 24th St Fl 2 New York NY 10010-3560 Ph: (212) 366-5100 |
| NPI Number | 1144231226 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 02/22/2019 |
| Medicare PECOS PAC ID | 1557448933 |
|---|---|
| Medicare Enrollment ID | O20080409000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144231226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 2247351 (New York) | Primary |
| Provider Name | Clifford D Stark |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1174564330 PECOS PAC ID: 8527051671 Enrollment ID: I20040406000121 |
| Provider Name | Aran Degenhardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649260001 PECOS PAC ID: 3779508114 Enrollment ID: I20051013001026 |
| Provider Name | Naresh C Rao |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1952309825 PECOS PAC ID: 8628300373 Enrollment ID: I20191029002641 |
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 |