| Galileo Medical Group, Nm Pc | |
|
632 Broadway Ph New York NY 10012-2614 | |
| (800) 731-4254 | |
| Not Available |
| Full Name | Galileo Medical Group, Nm Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 632 Broadway Ph, New York, New York |
| Authorized Official Name and Position | Thomas Lee (PRESIDENT) |
| Authorized Official Contact | 3472943414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galileo Medical Group, Nm Pc 64 Bleecker St # 151 New York NY 10012-2410 Ph: () - | Galileo Medical Group, Nm Pc 632 Broadway Ph New York NY 10012-2614 Ph: (800) 731-4254 |
| NPI Number | 1548911746 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/10/2022 |
| Medicare PECOS PAC ID | 5799123816 |
|---|---|
| Medicare Enrollment ID | O20240409000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548911746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James R Delgado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790753556 PECOS PAC ID: 4082808605 Enrollment ID: I20101027001473 |
| Provider Name | Thomas Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174531206 PECOS PAC ID: 0547257511 Enrollment ID: I20240409000596 |
| Provider Name | Amy Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932221140 PECOS PAC ID: 6204908577 Enrollment ID: I20250528003298 |
| Provider Name | Jodi Lynn Adler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427137504 PECOS PAC ID: 5092898148 Enrollment ID: I20250528003850 |
| Provider Name | Colleen Stephanie Surlyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053649418 PECOS PAC ID: 1456514629 Enrollment ID: I20250528003911 |
| Provider Name | Kelly Brant Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235524794 PECOS PAC ID: 0042565178 Enrollment ID: I20250529002264 |
| Provider Name | Jamila Irene Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353430 PECOS PAC ID: 3072740281 Enrollment ID: I20250529002893 |
| Provider Name | Paul Louis Hyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255467684 PECOS PAC ID: 8325164262 Enrollment ID: I20250529003272 |
| Provider Name | Juan Fernando Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396158382 PECOS PAC ID: 4880811132 Enrollment ID: I20250530001037 |
| Provider Name | Jude Therese Fleming-vaghjiani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104244532 PECOS PAC ID: 7517235724 Enrollment ID: I20250530001262 |
| Provider Name | Kimberly Gale Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306245691 PECOS PAC ID: 2567741101 Enrollment ID: I20250530001746 |
| Provider Name | Mara Anne Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861772402 PECOS PAC ID: 2466611363 Enrollment ID: I20250603002008 |
| Provider Name | Vyacheslav Mikheyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649598731 PECOS PAC ID: 2163655796 Enrollment ID: I20250603002585 |
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