| I-mobile Health Mission Inc. | |
|
2849 S Salina St Syracuse NY 13205-1553 | |
| (315) 422-5690 | |
| Not Available |
| Full Name | I-mobile Health Mission Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2849 S Salina St, Syracuse, New York |
| Authorized Official Name and Position | Abraham Masara (PRESIDENT) |
| Authorized Official Contact | 3157089828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I-mobile Health Mission Inc. 4756 Summerhurst Dr Liverpool NY 13088-3622 Ph: (315) 391-7770 | I-mobile Health Mission Inc. 2849 S Salina St Syracuse NY 13205-1553 Ph: (315) 422-5690 |
| NPI Number | 1043724529 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 11/20/2017 |
| Medicare PECOS PAC ID | 1658757075 |
|---|---|
| Medicare Enrollment ID | O20221007000954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043724529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Abraham Masara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780065953 PECOS PAC ID: 1759699788 Enrollment ID: I20150924001843 |
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