| Emerald Multispecialty Pa | |
|
200 Wyant Rd Akron OH 44313-4228 | |
| (212) 734-6621 | |
| (516) 430-5031 |
| Full Name | Emerald Multispecialty Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Wyant Rd, Akron, Ohio |
| Authorized Official Name and Position | Simon Fensterszaub (OWNER) |
| Authorized Official Contact | 7189646161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Multispecialty Pa 393 Broadway Brooklyn NY 11211-7303 Ph: () - | Emerald Multispecialty Pa 200 Wyant Rd Akron OH 44313-4228 Ph: (212) 734-6621 |
| NPI Number | 1598257503 |
|---|---|
| Provider Enumeration Date | 06/05/2018 |
| Last Update Date | 06/07/2023 |
| Medicare PECOS PAC ID | 5597007245 |
|---|---|
| Medicare Enrollment ID | O20190429000936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598257503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Simon Fensterszaub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003077322 PECOS PAC ID: 5890970230 Enrollment ID: I20190429001275 |
| Provider Name | Ritu Saini |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477763977 PECOS PAC ID: 7113091554 Enrollment ID: I20201214003086 |
| Provider Name | Abraham Berger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477605731 PECOS PAC ID: 3678673225 Enrollment ID: I20211229001547 |
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