| Boulevard Medical Healthcare | |
|
4238 Bronx Blvd Bronx NY 10466-2611 | |
| (718) 743-7090 | |
| Not Available |
| Full Name | Boulevard Medical Healthcare |
|---|---|
| Speciality | Chiropractor |
| Location | 4238 Bronx Blvd, Bronx, New York |
| Authorized Official Name and Position | Louis Difazio (PARTNER) |
| Authorized Official Contact | 7183259532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulevard Medical Healthcare 4238 Bronx Blvd Bronx NY 10466-2611 Ph: () - | Boulevard Medical Healthcare 4238 Bronx Blvd Bronx NY 10466-2611 Ph: (718) 743-7090 |
| NPI Number | 1891746368 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 03/16/2020 |
| Medicare PECOS PAC ID | 0244280113 |
|---|---|
| Medicare Enrollment ID | O20050127001044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891746368 | NPI | - | NPPES |
| Provider Name | Jason Cohen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063590537 PECOS PAC ID: 7214929397 Enrollment ID: I20040330001843 |
| Provider Name | Michael L Lewin |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1538100557 PECOS PAC ID: 6608864772 Enrollment ID: I20040507000575 |
| Provider Name | Aaron Glockenberg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588658967 PECOS PAC ID: 2567452543 Enrollment ID: I20040512001604 |
| Provider Name | Carl Gerardi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730104936 PECOS PAC ID: 2466437827 Enrollment ID: I20040621000634 |
| Provider Name | Jonathan A Sheindlin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598861668 PECOS PAC ID: 9234196999 Enrollment ID: I20041214000654 |
| Provider Name | Louis J Difazio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245231083 PECOS PAC ID: 0143270017 Enrollment ID: I20050128000459 |
| Provider Name | David S Marshak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750365318 PECOS PAC ID: 7719986561 Enrollment ID: I20061205000721 |
| Provider Name | Aaron T Spingarn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639142078 PECOS PAC ID: 2365441797 Enrollment ID: I20061213000390 |
| Provider Name | Nauka B Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740485622 PECOS PAC ID: 7911953476 Enrollment ID: I20071205000710 |
| Provider Name | Nirmala R Tummalapenta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346381183 PECOS PAC ID: 5496838872 Enrollment ID: I20080207000579 |
| Provider Name | Jeremy Gutwein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235279738 PECOS PAC ID: 0042369589 Enrollment ID: I20090513000052 |
| Provider Name | Joshua Shatzkes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518125681 PECOS PAC ID: 2961553367 Enrollment ID: I20090625000016 |
| Provider Name | Charles L Fishman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730181728 PECOS PAC ID: 1850467671 Enrollment ID: I20091230000533 |
| Provider Name | Theodore Casper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457352593 PECOS PAC ID: 6305912122 Enrollment ID: I20091230000575 |
| Provider Name | Reza Mesbah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235465089 PECOS PAC ID: 0840461877 Enrollment ID: I20110922000288 |
| Provider Name | Farhad Kadkhodaei Elyaderani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396972725 PECOS PAC ID: 9234451220 Enrollment ID: I20141202001145 |
| Provider Name | Amisha J Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841433075 PECOS PAC ID: 3971896143 Enrollment ID: I20160726000900 |
| Provider Name | Sanjum S Sethi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174783336 PECOS PAC ID: 7517198757 Enrollment ID: I20170710000967 |
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