| Kore Medical | |
|
641 Lexington Ave Fl 13 New York NY 10022-4503 | |
| (866) 567-3633 | |
| Not Available |
| Full Name | Kore Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 641 Lexington Ave Fl 13, New York, New York |
| Authorized Official Name and Position | Edwine Rinvil (CEO) |
| Authorized Official Contact | 6466617577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kore Medical 641 Lexington Ave Fl 13 New York NY 10022-4503 Ph: (866) 567-3633 | Kore Medical 641 Lexington Ave Fl 13 New York NY 10022-4503 Ph: (866) 567-3633 |
| NPI Number | 1417548686 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 05/13/2022 |
| Certification Date | 05/13/2022 |
| Medicare PECOS PAC ID | 1658788047 |
|---|---|
| Medicare Enrollment ID | O20210608000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417548686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edwine Rinvil-wailes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386810182 PECOS PAC ID: 7315093911 Enrollment ID: I20180710000597 |
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