| Dbm Medical Pllc | |
|
420 N Broadway Jericho NY 11753-2135 | |
| (516) 827-1515 | |
| (516) 342-6505 |
| Full Name | Dbm Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 420 N Broadway, Jericho, New York |
| Authorized Official Name and Position | Dorit Ben Moha (PRESIDENT) |
| Authorized Official Contact | 5168271515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dbm Medical Pllc 420 N Broadway Jericho NY 11753-2135 Ph: (516) 827-1515 | Dbm Medical Pllc 420 N Broadway Jericho NY 11753-2135 Ph: (516) 827-1515 |
| NPI Number | 1639409642 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 05/16/2019 |
| Medicare PECOS PAC ID | 0840316659 |
|---|---|
| Medicare Enrollment ID | O20100929001450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639409642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 209201 (New York) | Primary |
| Provider Name | Dorit Ben-moha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831288851 PECOS PAC ID: 7911023726 Enrollment ID: I20101006000262 |
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