| Audubon Primary Care Medicine Pllc | |
|
325 Audubon Ave New York NY 10033-4204 | |
| (212) 281-9472 | |
| Not Available |
| Full Name | Audubon Primary Care Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 325 Audubon Ave, New York, New York |
| Authorized Official Name and Position | Cecilia Griselda Calderon (PRESIDENT) |
| Authorized Official Contact | 2122819472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Audubon Primary Care Medicine Pllc 325 Audubon Ave New York NY 10033-4204 Ph: () - | Audubon Primary Care Medicine Pllc 325 Audubon Ave New York NY 10033-4204 Ph: (212) 281-9472 |
| NPI Number | 1851736441 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 07/31/2013 |
| Medicare PECOS PAC ID | 5890920656 |
|---|---|
| Medicare Enrollment ID | O20131101001033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851736441 | NPI | - | NPPES |
| 02932589 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 255626 (New York) | Primary |
| Provider Name | Marcia B Pehr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265655575 PECOS PAC ID: 4385533918 Enrollment ID: I20040312000198 |
| Provider Name | Hector Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851415426 PECOS PAC ID: 0042269573 Enrollment ID: I20050121000425 |
| Provider Name | Melissa M Rodriguez-ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679665301 PECOS PAC ID: 4385747393 Enrollment ID: I20070313000141 |
| Provider Name | Cecilia G Calderon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427118140 PECOS PAC ID: 0143314880 Enrollment ID: I20070926000033 |
| Provider Name | Michael Donald Tang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780874461 PECOS PAC ID: 3678662475 Enrollment ID: I20071201000098 |
| Provider Name | Terry A Scotland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558552778 PECOS PAC ID: 9436203569 Enrollment ID: I20090824000564 |
| Provider Name | Melida D Knibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154518280 PECOS PAC ID: 9335384692 Enrollment ID: I20130315000068 |
| Provider Name | Angelica Echevarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013463652 PECOS PAC ID: 1951685841 Enrollment ID: I20170221000140 |
| Provider Name | Tariq Mahmood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619386414 PECOS PAC ID: 6204131634 Enrollment ID: I20170321000233 |
| Provider Name | Emmanuel Diaz Guerrero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275938482 PECOS PAC ID: 6800154311 Enrollment ID: I20171211000473 |
| Provider Name | Laura Calderon-colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033656624 PECOS PAC ID: 4082039839 Enrollment ID: I20200827003666 |
| Provider Name | Juan De La Cruz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467568311 PECOS PAC ID: 5991793713 Enrollment ID: I20210119001390 |
| Provider Name | Taisha Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013539733 PECOS PAC ID: 7517372717 Enrollment ID: I20210222001702 |
| Provider Name | Diana Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811557846 PECOS PAC ID: 4789090226 Enrollment ID: I20210309001421 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
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