University Medical Office, Pllc | |
2270 University Ave Ste. 1a Bronx NY 10468-6265 | |
(646) 393-9079 | |
(646) 393-9081 |
Full Name | University Medical Office, Pllc |
---|---|
Speciality | Internal Medicine |
Location | 2270 University Ave, Bronx, New York |
Authorized Official Name and Position | Christian Arturo Belliard Estevez (PRESIDENT) |
Authorized Official Contact | 6463939079 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
University Medical Office, Pllc 2270 University Ave Ste. 1a Bronx NY 10468-6265 Ph: (646) 393-9079 | University Medical Office, Pllc 2270 University Ave Ste. 1a Bronx NY 10468-6265 Ph: (646) 393-9079 |
NPI Number | 1740422203 |
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Provider Enumeration Date | 03/30/2009 |
Last Update Date | 12/21/2009 |
Medicare PECOS PAC ID | 8123167277 |
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Medicare Enrollment ID | O20091202000374 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740422203 | NPI | - | NPPES |
0181919 | Medicaid | NJ | |
250412 | Other | NY | LICENSE |
25MA08476500 | Other | NJ | LICENSE |
03128530 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 250412 (New York) | Primary |
Provider Name | Christian A Belliard Estevez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215136254 PECOS PAC ID: 0840358263 Enrollment ID: I20090721000606 |
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