| Galileo Medical Group Al, P.c. | |
|
632 Broadway Ph New York NY 10012-2614 | |
| (347) 588-0601 | |
| Not Available |
| Full Name | Galileo Medical Group Al, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 632 Broadway Ph, New York, New York |
| Authorized Official Name and Position | Thomas Lee (PRESIDENT) |
| Authorized Official Contact | 3475880601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galileo Medical Group Al, P.c. 632 Broadway Ph New York NY 10012-2614 Ph: () - | Galileo Medical Group Al, P.c. 632 Broadway Ph New York NY 10012-2614 Ph: (347) 588-0601 |
| NPI Number | 1548033715 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 7416305776 |
|---|---|
| Medicare Enrollment ID | O20231127002119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548033715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marla J Couture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699775403 PECOS PAC ID: 6608764097 Enrollment ID: I20040308000801 |
| Provider Name | Lindsay Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073265815 PECOS PAC ID: 3476949173 Enrollment ID: I20220406000279 |
| Provider Name | Ajay Haryani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043603756 PECOS PAC ID: 8527465152 Enrollment ID: I20231127002184 |
| Provider Name | Christina Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356636138 PECOS PAC ID: 3971827130 Enrollment ID: I20231211000310 |
| Provider Name | Amy Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932221140 PECOS PAC ID: 6204908577 Enrollment ID: I20231227001168 |
| Provider Name | Vyacheslav Mikheyev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649598731 PECOS PAC ID: 2163655796 Enrollment ID: I20240111003139 |
| Provider Name | Juan Fernando Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396158382 PECOS PAC ID: 4880811132 Enrollment ID: I20240111003502 |
| Provider Name | Jude Therese Fleming-vaghjiani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104244532 PECOS PAC ID: 7517235724 Enrollment ID: I20240111003722 |
| Provider Name | Giselle Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013276708 PECOS PAC ID: 3173824448 Enrollment ID: I20240129002244 |
| Provider Name | Latina Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669091187 PECOS PAC ID: 2769803774 Enrollment ID: I20240201003317 |
| Provider Name | Daniel Weisberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841603834 PECOS PAC ID: 5799902003 Enrollment ID: I20240315001488 |
| Provider Name | Peter Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205148632 PECOS PAC ID: 9537358957 Enrollment ID: I20240409000917 |
| Provider Name | Kelly Brant Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235524794 PECOS PAC ID: 0042565178 Enrollment ID: I20240409001857 |
| Provider Name | Samuel Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497105373 PECOS PAC ID: 0446538292 Enrollment ID: I20241017000415 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
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Upper West Side Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
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