| Salud Medical Office, Pc | |
|
2088 Amsterdam Ave 2nd Floor New York NY 10032-5015 | |
| (212) 928-1125 | |
| (212) 928-1144 |
| Full Name | Salud Medical Office, Pc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 2088 Amsterdam Ave, New York, New York |
| Authorized Official Name and Position | Fred A Avila (PRESIDENT) |
| Authorized Official Contact | 2129281125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salud Medical Office, Pc 2088 Amsterdam Ave 2nd Floor New York NY 10032-5015 Ph: (212) 928-1125 | Salud Medical Office, Pc 2088 Amsterdam Ave 2nd Floor New York NY 10032-5015 Ph: (212) 928-1125 |
| NPI Number | 1245575760 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245575760 | NPI | - | NPPES |
| 01139202 | Medicaid | NY | |
| 118487 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 118487 (New York) | Primary |
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