| Christopher Adubor Physician PC | |
|
153 Stevens Ave Suite 4 Mount Vernon NY 10550-2543 | |
| (914) 668-8080 | |
| (914) 668-0629 |
| Full Name | Christopher Adubor Physician PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 153 Stevens Ave, Mount Vernon, New York |
| Authorized Official Name and Position | Christopher Adubor (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9146688080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Adubor Physician PC 153 Stevens Ave Suite 4 Mount Vernon NY 10550-2543 Ph: (914) 668-8080 | Christopher Adubor Physician PC 153 Stevens Ave Suite 4 Mount Vernon NY 10550-2543 Ph: (914) 668-8080 |
| NPI Number | 1043447808 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 06/18/2009 |
| Medicare PECOS PAC ID | 4385831593 |
|---|---|
| Medicare Enrollment ID | O20101214000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043447808 | NPI | - | NPPES |
| 01605527 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 192587 (New York) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 192587 (New York) | Primary |
| Provider Name | Christopher Adubor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962464594 PECOS PAC ID: 5597845479 Enrollment ID: I20101214000037 |
Arthur H. Elkind,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 N 7th Ave, Mount Vernon, NY 10550 Phone: 914-667-2230 Fax: 914-667-5841 |
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