Trinity Medical Group Pc | |
104 Vermilyea Ave Suite B New York NY 10034-3209 | |
(212) 544-8854 | |
(845) 230-2346 |
Full Name | Trinity Medical Group Pc |
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Speciality | Clinic/Center |
Location | 104 Vermilyea Ave, New York, New York |
Authorized Official Name and Position | Steve Teni Ayanruoh (CEO) |
Authorized Official Contact | 2125448854 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trinity Medical Group Pc 104 Vermilyea Ave Suite B New York NY 10034-3209 Ph: (212) 544-8854 | Trinity Medical Group Pc 104 Vermilyea Ave Suite B New York NY 10034-3209 Ph: (212) 544-8854 |
NPI Number | 1841375029 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 05/29/2009 |
Medicare PECOS PAC ID | 0840349478 |
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Medicare Enrollment ID | O20090601000239 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841375029 | NPI | - | NPPES |
01621278 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Steve T Ayanruoh |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1942264510 PECOS PAC ID: 2961560081 Enrollment ID: I20081018000127 |
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 |