| Advantage Care Medicine Pc | |
|
2960 Grand Concourse Lobby 1 Bronx NY 10458-1904 | |
| (718) 295-6815 | |
| (718) 295-6828 |
| Full Name | Advantage Care Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2960 Grand Concourse, Bronx, New York |
| Authorized Official Name and Position | Darren Esposito (OWNER) |
| Authorized Official Contact | 7182956815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Care Medicine Pc 2960 Grand Concourse Lobby 1 Bronx NY 10458-1904 Ph: (718) 295-6815 | Advantage Care Medicine Pc 2960 Grand Concourse Lobby 1 Bronx NY 10458-1904 Ph: (718) 295-6815 |
| NPI Number | 1699914051 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 10/01/2010 |
| Medicare PECOS PAC ID | 9234286030 |
|---|---|
| Medicare Enrollment ID | O20090414000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699914051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Darren Esposito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710091756 PECOS PAC ID: 2365485828 Enrollment ID: I20050606000659 |
| Provider Name | Ilene N Kassman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578304028 PECOS PAC ID: 6709313752 Enrollment ID: I20250102002709 |
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