| Tina Dobsevage,m.d.,p.c. | |
|
1050 5th Ave Ofc 4 New York NY 10028-0110 | |
| (646) 672-0763 | |
| (646) 672-0741 |
| Full Name | Tina Dobsevage,m.d.,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1050 5th Ave Ofc 4, New York, New York |
| Authorized Official Name and Position | Terry Sonterre (BILLER) |
| Authorized Official Contact | 2124773544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Dobsevage,m.d.,p.c. 1050 5th Ave Ofc 4 New York NY 10028-0110 Ph: (646) 672-0763 | Tina Dobsevage,m.d.,p.c. 1050 5th Ave Ofc 4 New York NY 10028-0110 Ph: (646) 672-0763 |
| NPI Number | 1972707057 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 09/24/2007 |
| Medicare PECOS PAC ID | 4082501531 |
|---|---|
| Medicare Enrollment ID | O20040301000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972707057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 140444 (New York) | Primary |
| Provider Name | Tina A Dobsevage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235193624 PECOS PAC ID: 8325935851 Enrollment ID: I20040301000644 |
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