| Mr Rod Saclolo, MD | |
|
20 W 86th St Ste 1a, New York, NY 10024-3604 | |
| (212) 799-1600 | |
| (212) 477-2885 |
| Full Name | Mr Rod Saclolo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 20 W 86th St Ste 1a, New York, 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 |
|---|---|---|---|
| 1396809091 | NPI | - | NPPES |
| 01761628 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 199682 (New York) | Primary |
| Entity Name | Prominis Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841323771 PECOS PAC ID: 9537124441 Enrollment ID: O20041119000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rod Saclolo, MD 20 W 86th St Ste 1a, New York, NY 10024-3604 Ph: (212) 799-1600 | Mr Rod Saclolo, MD 20 W 86th St Ste 1a, New York, NY 10024-3604 Ph: (212) 799-1600 |
Dr. Ravishankar Ramaswamy, MD, MS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1440 Madison Avenue, New York, NY 10029 Phone: 212-659-8552 Fax: 212-860-9737 | |
Dr. Pietro Alessandro Ambrogio Canetta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 622 W 168th St, Ph4-124, New York, NY 10032 Phone: 212-305-5020 Fax: 212-305-6692 | |
Dr. Rakhshan Mahmood Chida, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 327 E 17th St, New York, NY 10003 Phone: 212-420-5690 | |
Charles D Resor, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 622 W 168th St, New York, NY 10032 Phone: 212-305-2913 | |
Dr. Jacqueline Yuey Lonier, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 Saint Nicholas Ave, New York, NY 10032 Phone: 212-851-5494 | |
Dr. Sharon Uralil, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-3293 | |
Diana Kantor, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 775 9th Ave, New York, NY 10019 Phone: 212-586-1550 |