| Empire State Internal Medicine Pc | |
|
2000 E Main St Peekskill NY 10566-6816 | |
| (914) 737-8400 | |
| Not Available |
| Full Name | Empire State Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2000 E Main St, Peekskill, New York |
| Authorized Official Name and Position | Aravinda Lakshmi Bommareddy (CEO) |
| Authorized Official Contact | 9144678183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empire State Internal Medicine Pc 5 Alcott Ct New City NY 10956-6657 Ph: (914) 467-8183 | Empire State Internal Medicine Pc 2000 E Main St Peekskill NY 10566-6816 Ph: (914) 737-8400 |
| NPI Number | 1659929495 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 07/23/2024 |
| Medicare PECOS PAC ID | 9931531019 |
|---|---|
| Medicare Enrollment ID | O20191111001741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659929495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aravinda L Bommareddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992869655 PECOS PAC ID: 4486759974 Enrollment ID: I20070411000288 |
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