| Union Community Health Center, Inc. | |
|
260 E 188th St Bronx NY 10458-5302 | |
| (718) 220-2020 | |
| Not Available |
| Full Name | Union Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 260 E 188th St, Bronx, New York |
| Authorized Official Name and Position | Mary Hartnett (CFO) |
| Authorized Official Contact | 7189609465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Community Health Center, Inc. 260 E 188th St Bronx NY 10458-5302 Ph: (718) 220-2020 | Union Community Health Center, Inc. 260 E 188th St Bronx NY 10458-5302 Ph: (718) 220-2020 |
| NPI Number | 1437255155 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 02/23/2023 |
| Medicare PECOS PAC ID | 4486545266 |
|---|---|
| Medicare Enrollment ID | O20040322001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437255155 | NPI | - | NPPES |
| 02064111 | Medicaid | NY | |
| 7000255R | Other | NY | UCHC NYS OPERATING CERT # |
| 6129 | Other | NY | UCHC PFI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 7000255R (New York) | Primary |
| Provider Name | Renee D Yearwood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508833260 PECOS PAC ID: 1153228572 Enrollment ID: I20031215000631 |
| Provider Name | Teresa B Turi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467553057 PECOS PAC ID: 5092700229 Enrollment ID: I20040417000235 |
| Provider Name | Carl Guillaume |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528098118 PECOS PAC ID: 2264421973 Enrollment ID: I20040508000059 |
| Provider Name | Marc D Danziger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912958869 PECOS PAC ID: 7618967597 Enrollment ID: I20040513000627 |
| Provider Name | Galina Bendich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376590596 PECOS PAC ID: 4385615152 Enrollment ID: I20040804001108 |
| Provider Name | Hany M Elsadr |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760492896 PECOS PAC ID: 1557327178 Enrollment ID: I20041206000845 |
| Provider Name | James P Ryan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184763856 PECOS PAC ID: 6305803347 Enrollment ID: I20041211000133 |
| Provider Name | Harlan Weinberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881704732 PECOS PAC ID: 4789634312 Enrollment ID: I20050131000933 |
| Provider Name | Michael D Gindi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114964418 PECOS PAC ID: 7810927985 Enrollment ID: I20050818000085 |
| Provider Name | Robert Locastro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982606323 PECOS PAC ID: 9133159932 Enrollment ID: I20050829000901 |
| Provider Name | Patricia Ann Brancale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831258193 PECOS PAC ID: 1153367032 Enrollment ID: I20050912000428 |
| Provider Name | Samuel Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578738050 PECOS PAC ID: 6608895792 Enrollment ID: I20051117000770 |
| Provider Name | Oluyemisi Ariyibi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639129612 PECOS PAC ID: 4385656396 Enrollment ID: I20060612000061 |
| Provider Name | Tony Y Cheng |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477592095 PECOS PAC ID: 7517970718 Enrollment ID: I20060710000166 |
| Provider Name | Natela Babayeva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801823406 PECOS PAC ID: 8527065879 Enrollment ID: I20061028000009 |
| Provider Name | Jacqueline Storey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063446045 PECOS PAC ID: 0749287563 Enrollment ID: I20061108000438 |
| Provider Name | Corneliu T Vulpe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992815021 PECOS PAC ID: 8022016112 Enrollment ID: I20061128000432 |
| Provider Name | Frank B Watkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306805676 PECOS PAC ID: 4486751344 Enrollment ID: I20070530000027 |
| Provider Name | Luis Cintron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871680512 PECOS PAC ID: 8820166440 Enrollment ID: I20081009000652 |
| Provider Name | Cherrylene A Berdos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710110796 PECOS PAC ID: 6608921838 Enrollment ID: I20090922000592 |
| Provider Name | Josephine S Dolera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053595082 PECOS PAC ID: 4385610799 Enrollment ID: I20101023000098 |
| Provider Name | Lily Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689723249 PECOS PAC ID: 8123200383 Enrollment ID: I20110309000155 |
| Provider Name | Bryan J Rudolph |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811216948 PECOS PAC ID: 3072782655 Enrollment ID: I20110817000029 |
| Provider Name | Nithan Narendra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457531873 PECOS PAC ID: 2567531155 Enrollment ID: I20110907000756 |
| Provider Name | Anisha Keeriyott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447538459 PECOS PAC ID: 2163696063 Enrollment ID: I20111110000300 |
| Provider Name | Kevia L Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912297367 PECOS PAC ID: 1153596523 Enrollment ID: I20111213000830 |
| Provider Name | Ada N Lugo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891865234 PECOS PAC ID: 2567639222 Enrollment ID: I20120120000134 |
| Provider Name | Mildred Lcsw Casiano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427146703 PECOS PAC ID: 1557517083 Enrollment ID: I20120815000569 |
| Provider Name | Armando Bernal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447540281 PECOS PAC ID: 8820245061 Enrollment ID: I20120823000487 |
| Provider Name | Rainegale Marie M Pesidas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992036677 PECOS PAC ID: 3072758010 Enrollment ID: I20130323000019 |
| Provider Name | Mohammad M Azam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831309087 PECOS PAC ID: 5294880688 Enrollment ID: I20131008001710 |
| Provider Name | Lauren Blum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184953051 PECOS PAC ID: 2668603051 Enrollment ID: I20140328000037 |
| Provider Name | Tyler Phan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306250931 PECOS PAC ID: 4880812072 Enrollment ID: I20140829002194 |
| Provider Name | Carlos A Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255624896 PECOS PAC ID: 2466671433 Enrollment ID: I20140924001533 |
| Provider Name | Daniel B Azabache |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477535193 PECOS PAC ID: 3870557614 Enrollment ID: I20140924001936 |
| Provider Name | Cory Ruddy-ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538422944 PECOS PAC ID: 3375850035 Enrollment ID: I20150914002450 |
| Provider Name | Linda R Lange |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215233101 PECOS PAC ID: 7012215981 Enrollment ID: I20160408000638 |
| Provider Name | Naveen Singanamala |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972763274 PECOS PAC ID: 9436223732 Enrollment ID: I20160408000723 |
| Provider Name | Olga Seraya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962656066 PECOS PAC ID: 5991004327 Enrollment ID: I20160505001749 |
| Provider Name | Bernice Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396072518 PECOS PAC ID: 6709185028 Enrollment ID: I20160509000113 |
| Provider Name | Prunela Rundlett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225326937 PECOS PAC ID: 2668761339 Enrollment ID: I20160519000534 |
| Provider Name | Yaneth Serrano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194978171 PECOS PAC ID: 7416247820 Enrollment ID: I20160526000068 |
| Provider Name | Ayman S Wasef |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780951335 PECOS PAC ID: 1355635434 Enrollment ID: I20160812000211 |
| Provider Name | Elaina J Larusso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083927925 PECOS PAC ID: 1153517297 Enrollment ID: I20161017002330 |
| Provider Name | Rosa Mannozzi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417102195 PECOS PAC ID: 8820376718 Enrollment ID: I20161027001357 |
| Provider Name | Takako Nishiyama |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841562279 PECOS PAC ID: 2264714807 Enrollment ID: I20170117000526 |
| Provider Name | Stephanie Lulo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881018661 PECOS PAC ID: 5193000453 Enrollment ID: I20170329000147 |
| Provider Name | Yael Offer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700284445 PECOS PAC ID: 9133414550 Enrollment ID: I20170601000924 |
| Provider Name | Luner S Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609264316 PECOS PAC ID: 9133499759 Enrollment ID: I20170714000369 |
| Provider Name | Claire Ecal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043749807 PECOS PAC ID: 3577833938 Enrollment ID: I20170719000102 |
| Provider Name | Nissin C Nahmias-capon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497968721 PECOS PAC ID: 4284784141 Enrollment ID: I20180129001733 |
| Provider Name | Joseph Berkovic |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083023154 PECOS PAC ID: 0648531913 Enrollment ID: I20180301000167 |
| Provider Name | Amrita Persaud |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568796746 PECOS PAC ID: 7315295045 Enrollment ID: I20180813000488 |
| Provider Name | Charles Ofori-ampomah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902388911 PECOS PAC ID: 8325392152 Enrollment ID: I20181114002729 |
| Provider Name | Diana Vanessa Montoya |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922524412 PECOS PAC ID: 5496096596 Enrollment ID: I20190417001505 |
| Provider Name | Olga Josephine Jacques |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508213992 PECOS PAC ID: 1759616030 Enrollment ID: I20190709001326 |
| Provider Name | Osei Assibey Bonsu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457989683 PECOS PAC ID: 1759792591 Enrollment ID: I20201130000776 |
| Provider Name | Sumithra Nanjappa Kambi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265623912 PECOS PAC ID: 1658783410 Enrollment ID: I20201218002359 |
| Provider Name | Sherwin Su |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144532698 PECOS PAC ID: 9931494556 Enrollment ID: I20210315001972 |
| Provider Name | Marcin Romanczyk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952821134 PECOS PAC ID: 9335549740 Enrollment ID: I20210607001124 |
| Provider Name | Orlando A Pinero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073006078 PECOS PAC ID: 3971906066 Enrollment ID: I20210727003128 |
| Provider Name | Bruno Coelho Da Rocha Lazaro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700491917 PECOS PAC ID: 0547664195 Enrollment ID: I20210804003294 |
| Provider Name | Stephanie Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710478284 PECOS PAC ID: 1052716255 Enrollment ID: I20210826001470 |
| Provider Name | Yudelka Pena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184002719 PECOS PAC ID: 5991102840 Enrollment ID: I20210921000886 |
| Provider Name | Joseph Lopinto |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1295851095 PECOS PAC ID: 1153728902 Enrollment ID: I20210922000869 |
| Provider Name | Bo Cui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912355520 PECOS PAC ID: 4284022187 Enrollment ID: I20211026002335 |
| Provider Name | Stephanie Gomez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316505530 PECOS PAC ID: 4082004551 Enrollment ID: I20211124002018 |
| Provider Name | Vivian Lynn Treglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265684989 PECOS PAC ID: 0648587451 Enrollment ID: I20211130003009 |
| Provider Name | Caitlin Donovan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174185615 PECOS PAC ID: 6800286980 Enrollment ID: I20211203000944 |
| Provider Name | Samia I Talishinskiy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164658845 PECOS PAC ID: 5698995017 Enrollment ID: I20211210000375 |
| Provider Name | Alvyn S Yeoh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811203458 PECOS PAC ID: 5395137715 Enrollment ID: I20220117000032 |
| Provider Name | Rebecca Sternberger |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821331166 PECOS PAC ID: 5890189427 Enrollment ID: I20220225000087 |
| Provider Name | Hamad Burashed |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1912307273 PECOS PAC ID: 8325433709 Enrollment ID: I20220322001199 |
| Provider Name | Amie Patel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841680741 PECOS PAC ID: 4082000864 Enrollment ID: I20220404001004 |
| Provider Name | Maria Ilagan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205089281 PECOS PAC ID: 6204984289 Enrollment ID: I20220602002468 |
| Provider Name | David Steven Rapps |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477050094 PECOS PAC ID: 0840679346 Enrollment ID: I20220613002820 |
| Provider Name | Alejandra Costantino Finiasz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053488528 PECOS PAC ID: 0446630073 Enrollment ID: I20220629001245 |
| Provider Name | Cathy J Han |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740358993 PECOS PAC ID: 8729461314 Enrollment ID: I20220815001472 |
| Provider Name | Junaid Mundiya |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447631445 PECOS PAC ID: 3678810876 Enrollment ID: I20220913002420 |
| Provider Name | Bindhu K Mathew |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962705996 PECOS PAC ID: 9830565738 Enrollment ID: I20221018001657 |
| Provider Name | Alize M Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164131652 PECOS PAC ID: 2769851864 Enrollment ID: I20221213000257 |
| Provider Name | Carmen Lam |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1275068249 PECOS PAC ID: 3476897497 Enrollment ID: I20221213000344 |
| Provider Name | Alexander C Egerter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124554399 PECOS PAC ID: 7214326628 Enrollment ID: I20230126000199 |
| Provider Name | Drew Schimpf |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457942765 PECOS PAC ID: 3678946506 Enrollment ID: I20230223002534 |
| Provider Name | Salvador D Deocampo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245937168 PECOS PAC ID: 7618340241 Enrollment ID: I20230302000940 |
| Provider Name | Lidija Palezac |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639552409 PECOS PAC ID: 6608240775 Enrollment ID: I20230314000264 |
| Provider Name | Janeth Ortega Vazquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134825144 PECOS PAC ID: 0547634552 Enrollment ID: I20230314002268 |
| Provider Name | Ryan K Straseskie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023436268 PECOS PAC ID: 6709168107 Enrollment ID: I20230608000642 |
| Provider Name | Farhana Jui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255901120 PECOS PAC ID: 2961805197 Enrollment ID: I20230801001102 |
| Provider Name | Joyce Amoah |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609148204 PECOS PAC ID: 4486815248 Enrollment ID: I20230925002107 |
| Provider Name | Laura Dadzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679827109 PECOS PAC ID: 4789038662 Enrollment ID: I20230926003096 |
| Provider Name | Tamar Rogoszinski |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1811644198 PECOS PAC ID: 8820446917 Enrollment ID: I20231130000524 |
| Provider Name | Althea A Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881377265 PECOS PAC ID: 0648620591 Enrollment ID: I20231219001892 |
| Provider Name | Zachary Jones |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1073254884 PECOS PAC ID: 6608226147 Enrollment ID: I20231227000328 |
| Provider Name | Mairenit Liriano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881145233 PECOS PAC ID: 3274986575 Enrollment ID: I20240201003646 |
| Provider Name | Gaelle Desroches |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700647351 PECOS PAC ID: 4082059696 Enrollment ID: I20240305000861 |
| Provider Name | Karishma Surujnath |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407428725 PECOS PAC ID: 5193128080 Enrollment ID: I20240310000090 |
| Provider Name | Johnny J Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932720513 PECOS PAC ID: 3870939580 Enrollment ID: I20240315001284 |
| Provider Name | Carolina Hidalgo Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639722952 PECOS PAC ID: 4688011521 Enrollment ID: I20240327001268 |
| Provider Name | Sylvia S Fam |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891255261 PECOS PAC ID: 4385082346 Enrollment ID: I20240410000136 |
| Provider Name | Chelsea A Batista |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326625575 PECOS PAC ID: 3072953165 Enrollment ID: I20240507001294 |
| Provider Name | Oyindamola Oluseye |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831728161 PECOS PAC ID: 9931540655 Enrollment ID: I20240513002635 |
Mmc Medical Park At 1635 Poplar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mmc Medical Park At 1635 Poplar, 1635 Poplar Street, Bronx, NY 10461 Phone: 914-377-4722 | |
Mmc At Aecom Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Morris Park Avenue, Mmc At Aecom, Bronx, NY 10461 Phone: 914-377-4722 | |
Brightpoint Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1543-1545 Inwood Avenue, Bronx, NY 10452 Phone: 855-687-8700 Fax: 718-294-4765 | |
Aramark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 646-641-7427 | |
Mmc At Melrose 260 E 161 Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 E 161st St, Bronx, NY 10451 Phone: 718-920-4321 | |
Amth Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 369 E 149th St, 4th Floor, Bronx, NY 10455 Phone: 718-665-8300 | |
New Genesis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 E Tremont Ave Fl 2, Bronx, NY 10465 Phone: 718-828-1549 Fax: 516-303-0968 |