| East Coast Health Medical Services Pc | |
|
109 W 27th St Ste 4n New York NY 10001-0265 | |
| (332) 203-2522 | |
| Not Available |
| Full Name | East Coast Health Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 109 W 27th St Ste 4n, New York, New York |
| Authorized Official Name and Position | Jingyi Kang (OPERATIONS) |
| Authorized Official Contact | 3322032522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Coast Health Medical Services Pc 109 W 27th St Ste 4n New York NY 10001-0265 Ph: (332) 203-2522 | East Coast Health Medical Services Pc 109 W 27th St Ste 4n New York NY 10001-0265 Ph: (332) 203-2522 |
| NPI Number | 1841015153 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 04/14/2025 |
| Certification Date | 04/14/2025 |
| Medicare PECOS PAC ID | 8527597780 |
|---|---|
| Medicare Enrollment ID | O20250203000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841015153 | NPI | - | NPPES |
| Provider Name | Elizabeth T Woodford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134387004 PECOS PAC ID: 5991862302 Enrollment ID: I20090328000004 |
| Provider Name | Donna E Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619214814 PECOS PAC ID: 5991025058 Enrollment ID: I20150513002511 |
| Provider Name | Ifedayo Olufemi Kuye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043669484 PECOS PAC ID: 9032480405 Enrollment ID: I20250203000984 |
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