Tracy Towers Medical P.c. | |
1560 Grand Concourse Suite 102 Bronx NY 10457-8402 | |
(718) 733-6369 | |
(718) 294-4365 |
Full Name | Tracy Towers Medical P.c. |
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Speciality | Exclusive Provider Organization |
Location | 1560 Grand Concourse, Bronx, New York |
Authorized Official Name and Position | Chaula Patel (PRESIDENT) |
Authorized Official Contact | 71873363669 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tracy Towers Medical P.c. 1560 Grand Concourse Suite 102 Bronx NY 10457-8402 Ph: (718) 733-6369 | Tracy Towers Medical P.c. 1560 Grand Concourse Suite 102 Bronx NY 10457-8402 Ph: (718) 733-6369 |
NPI Number | 1518197052 |
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Provider Enumeration Date | 07/17/2009 |
Last Update Date | 09/02/2010 |
Medicare PECOS PAC ID | 9133271224 |
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Medicare Enrollment ID | O20090721000519 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518197052 | NPI | - | NPPES |
01740909 | Medicaid | NY |
Provider Name | Chaula P Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861570558 PECOS PAC ID: 8022160258 Enrollment ID: I20090717000552 |
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