| Ydr Geriatrics & Nephrology Llp | |
|
4141 Carpenter Ave Renal Unit Bronx NY 10466-2600 | |
| (718) 920-9041 | |
| (914) 633-5084 |
| Full Name | Ydr Geriatrics & Nephrology Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 4141 Carpenter Ave, Bronx, New York |
| Authorized Official Name and Position | Jinil Yoo (PHYSICIAN) |
| Authorized Official Contact | 7189209040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ydr Geriatrics & Nephrology Llp Po Box 1239 Scarsdale NY 10583-9239 Ph: (914) 263-7562 | Ydr Geriatrics & Nephrology Llp 4141 Carpenter Ave Renal Unit Bronx NY 10466-2600 Ph: (718) 920-9041 |
| NPI Number | 1417020058 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 03/27/2015 |
| Medicare PECOS PAC ID | 9234020983 |
|---|---|
| Medicare Enrollment ID | O20040322001916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417020058 | NPI | - | NPPES |
| 3300305 | Other | GHI | |
| 2672995 | Other | AETNA | |
| 00740818 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Jinil Yoo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932283173 PECOS PAC ID: 8628985439 Enrollment ID: I20041218000140 |
| Provider Name | Padmavathi Murakonda |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841389681 PECOS PAC ID: 9638231855 Enrollment ID: I20081223000330 |
| Provider Name | Robin O Russell |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659454825 PECOS PAC ID: 1153465612 Enrollment ID: I20100222000519 |
| Provider Name | Hugo Villanueva |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689760795 PECOS PAC ID: 4789728379 Enrollment ID: I20100222000565 |
| Provider Name | Lin Lwin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053407031 PECOS PAC ID: 9133263726 Enrollment ID: I20100222000588 |
| Provider Name | Madhusudhana Kanagala |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871689992 PECOS PAC ID: 6002950607 Enrollment ID: I20100222000677 |
| Provider Name | Thiravinvamalai S Dharmarajan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1194814962 PECOS PAC ID: 1355258161 Enrollment ID: I20100222000734 |
| Provider Name | Anna Skokowska Lebelt |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598851628 PECOS PAC ID: 4587709712 Enrollment ID: I20100226000608 |
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