| Immunization Medical Services Pc | |
|
909 Midland Ave Yonkers NY 10704-1092 | |
| (770) 512-8566 | |
| (770) 512-8558 |
| Full Name | Immunization Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 909 Midland Ave, Yonkers, New York |
| Authorized Official Name and Position | Ricky John Sayegh (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9143767000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immunization Medical Services Pc 235 Hembree Park Dr Suite 300 Roswell GA 30076-5738 Ph: (770) 512-8566 | Immunization Medical Services Pc 909 Midland Ave Yonkers NY 10704-1092 Ph: (770) 512-8566 |
| NPI Number | 1477862191 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 10/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477862191 | NPI | - | NPPES |
| 02458313 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 227084 (New York) | Primary |
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