| Houston Medical Consulting Pc | |
|
441 Albany Court West New York NJ 07093 | |
| (646) 576-5711 | |
| (212) 477-2885 |
| Full Name | Houston Medical Consulting Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 441 Albany Court, West New York, New Jersey |
| Authorized Official Name and Position | John Vincent Dellosso (OWNER) |
| Authorized Official Contact | 6465765711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Medical Consulting Pc 441 Albany Court West New York NJ 07093 Ph: (646) 576-5711 | Houston Medical Consulting Pc 441 Albany Court West New York NJ 07093 Ph: (646) 576-5711 |
| NPI Number | 1386993103 |
|---|---|
| Provider Enumeration Date | 09/07/2012 |
| Last Update Date | 09/18/2012 |
| Medicare PECOS PAC ID | 1951551589 |
|---|---|
| Medicare Enrollment ID | O20121017000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386993103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 197294 (New York) | Primary |
| Provider Name | John V Dellosso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942299920 PECOS PAC ID: 7911095963 Enrollment ID: I20071108000746 |
| Provider Name | Mon Hsia Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538209952 PECOS PAC ID: 6800961806 Enrollment ID: I20080826000067 |
| Provider Name | Keran S Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407917289 PECOS PAC ID: 8325103419 Enrollment ID: I20090410000000 |
| Provider Name | Marjorie C Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205165164 PECOS PAC ID: 9931232972 Enrollment ID: I20100728000559 |
| Provider Name | Catherine Mondonedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184656886 PECOS PAC ID: 9931370525 Enrollment ID: I20110912000001 |
| Provider Name | Ignatius Gbaduo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225306509 PECOS PAC ID: 8527235712 Enrollment ID: I20120111000076 |
| Provider Name | Eneil Ryan De La Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245672187 PECOS PAC ID: 7618118019 Enrollment ID: I20130805000158 |
| Provider Name | Susan M Smetana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669810446 PECOS PAC ID: 0648493924 Enrollment ID: I20140514002284 |
| Provider Name | Paulina P Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760810840 PECOS PAC ID: 5395046015 Enrollment ID: I20151222000457 |
| Provider Name | Vera Levter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386155042 PECOS PAC ID: 0345502548 Enrollment ID: I20180328002437 |
| Provider Name | Coleen Mcglynn Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336653401 PECOS PAC ID: 6204199854 Enrollment ID: I20180412000134 |
| Provider Name | Caryn Mark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376039339 PECOS PAC ID: 5597016154 Enrollment ID: I20180920000397 |
| Provider Name | Qi Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083180004 PECOS PAC ID: 1658611975 Enrollment ID: I20190325001657 |
| Provider Name | Larissa Jerominow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285284992 PECOS PAC ID: 5991116360 Enrollment ID: I20201117000628 |
| Provider Name | Philippe Gerard T Trabado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306588447 PECOS PAC ID: 1557749009 Enrollment ID: I20220613000332 |
| Provider Name | Marlene Ramnanan-jaikaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255056396 PECOS PAC ID: 6800250770 Enrollment ID: I20230911002293 |
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