| Bronx Park Urgent Medical Care Pc | |
|
2016 Bronxdale Ave Bronx NY 10462-3388 | |
| (914) 654-6543 | |
| Not Available |
| Full Name | Bronx Park Urgent Medical Care Pc |
|---|---|
| Speciality | General Practice |
| Location | 2016 Bronxdale Ave, Bronx, New York |
| Authorized Official Name and Position | Eliona Doci (BPUMC MANAGER) |
| Authorized Official Contact | 9176618250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronx Park Urgent Medical Care Pc 2016 Bronxdale Ave Ste 101 Bronx NY 10462-3365 Ph: (718) 918-9676 | Bronx Park Urgent Medical Care Pc 2016 Bronxdale Ave Bronx NY 10462-3388 Ph: (914) 654-6543 |
| NPI Number | 1326191727 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 10/25/2023 |
| Medicare PECOS PAC ID | 8022907369 |
|---|---|
| Medicare Enrollment ID | O20040313000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326191727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jae K Ahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679541619 PECOS PAC ID: 2264420082 Enrollment ID: I20040503000165 |
| Provider Name | Blanca N Grand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417903832 PECOS PAC ID: 2365474061 Enrollment ID: I20050901000852 |
| Provider Name | Mikhail Paikin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376587246 PECOS PAC ID: 9638161359 Enrollment ID: I20060630000144 |
| Provider Name | Jacqueline Storey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063446045 PECOS PAC ID: 0749287563 Enrollment ID: I20061108000438 |
| Provider Name | Carlos A Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255624896 PECOS PAC ID: 2466671433 Enrollment ID: I20140924001533 |
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