| Vsh Wellness & Diagnostic Center Pc | |
|
435 57th St Ste 1 West New York NJ 07093-2119 | |
| (201) 223-0202 | |
| Not Available |
| Full Name | Vsh Wellness & Diagnostic Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 435 57th St Ste 1, West New York, New Jersey |
| Authorized Official Name and Position | Emile I Rangel (PRESIDENT) |
| Authorized Official Contact | 2012230202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vsh Wellness & Diagnostic Center Pc 435 57th St Ste 1 West New York NJ 07093-2119 Ph: (201) 223-0202 | Vsh Wellness & Diagnostic Center Pc 435 57th St Ste 1 West New York NJ 07093-2119 Ph: (201) 223-0202 |
| NPI Number | 1497082317 |
|---|---|
| Provider Enumeration Date | 11/13/2009 |
| Last Update Date | 11/13/2009 |
| Medicare PECOS PAC ID | 6103966866 |
|---|---|
| Medicare Enrollment ID | O20091211000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497082317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06617900 (New Jersey) | Primary |
| Provider Name | Emile I Rangel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598752081 PECOS PAC ID: 1052369527 Enrollment ID: I20050111000823 |
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