U.s. Mobile Medical Associates, Pllc | |
474 Ovington Ave Ste Ll Brooklyn NY 11209-1554 | |
(718) 238-2625 | |
(347) 227-1368 |
Full Name | U.s. Mobile Medical Associates, Pllc |
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Speciality | Internal Medicine |
Location | 474 Ovington Ave Ste Ll, Brooklyn, New York |
Authorized Official Name and Position | Joseph N Addeo (CEO) |
Authorized Official Contact | 7182382625 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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U.s. Mobile Medical Associates, Pllc 474 Ovington Ave Ste Ll Brooklyn NY 11209-1554 Ph: (718) 238-2625 | U.s. Mobile Medical Associates, Pllc 474 Ovington Ave Ste Ll Brooklyn NY 11209-1554 Ph: (718) 238-2625 |
NPI Number | 1801657978 |
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Provider Enumeration Date | 01/17/2024 |
Last Update Date | 01/17/2024 |
Medicare PECOS PAC ID | 0446691174 |
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Medicare Enrollment ID | O20240513003335 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801657978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
251K00000X | Public Health Or Welfare | (* (Not Available)) | Secondary |
Provider Name | Joseph N Addeo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851351571 PECOS PAC ID: 7517859408 Enrollment ID: I20040325001737 |
Provider Name | Susan Anabelle Gador |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346226594 PECOS PAC ID: 7214919315 Enrollment ID: I20040602001631 |
Provider Name | Sam Shahem |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1790716579 PECOS PAC ID: 3274585070 Enrollment ID: I20050219000007 |
Provider Name | Fred Eugene Notarnicola |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235239799 PECOS PAC ID: 6002091972 Enrollment ID: I20110420000175 |
Provider Name | Christine Ann Lada |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790459485 PECOS PAC ID: 5496184640 Enrollment ID: I20221207002920 |
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