| Dr Liem P Ta, DO | |
|
183rd And Third Ave, Bronx, NY 10457 | |
| (718) 960-9000 | |
| Not Available |
| Full Name | Dr Liem P Ta |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 183rd And Third Ave, Bronx, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285849521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A10001 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Liem P Ta, DO 12 Legends Blvd, West Nyack, NY 10994-2447 Ph: (917) 400-0029 | Dr Liem P Ta, DO 183rd And Third Ave, Bronx, NY 10457 Ph: (718) 960-9000 |
Dr. Thomas Henry Parry, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 234 E 149th St, Bronx, NY 10451 Phone: 718-579-6010 | |
Dr. Sarah G Jamison, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Pelham Pkwy S, Building 6, Suite B125, Bronx, NY 10461 Phone: 718-918-5820 | |
May Yee Helman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 718-992-7669 | |
Dr. John Ellis, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4422 Third Ave, Bronx, NY 10457 Phone: 718-960-9000 | |
Dr. Angelica Rosa Angiulli, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1825 Eastchester Rd, Bronx, NY 10461 Phone: 718-904-2904 | |
Dr. Patrick Spencer Eiben, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Pelham Pkwy S, Building 6//suite B125, Bronx, NY 10461 Phone: 718-918-5820 | |
Nai Li, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4422 3rd Ave, Bronx, NY 10457 Phone: 718-960-9000 |