| Jose L. Lantin, Md, Pc | |
|
1086 N Broadway Ste 50 Yonkers NY 10701-1115 | |
| (929) 441-6911 | |
| (607) 246-5337 |
| Full Name | Jose L. Lantin, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1086 N Broadway Ste 50, Yonkers, New York |
| Authorized Official Name and Position | Jose L. Lantin (PRESIDENT) |
| Authorized Official Contact | 9143911274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose L. Lantin, Md, Pc 1086 N Broadway Ste 50 Yonkers NY 10701-1115 Ph: (929) 441-6911 | Jose L. Lantin, Md, Pc 1086 N Broadway Ste 50 Yonkers NY 10701-1115 Ph: (929) 441-6911 |
| NPI Number | 1043468366 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 06/29/2022 |
| Medicare PECOS PAC ID | 1355417783 |
|---|---|
| Medicare Enrollment ID | O20080908000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043468366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Jonathan M Rieber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023093721 PECOS PAC ID: 1759295637 Enrollment ID: I20031114000509 |
| Provider Name | Frederick Fallick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053358689 PECOS PAC ID: 9133175946 Enrollment ID: I20050324000741 |
| Provider Name | Jose L Lantin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770571135 PECOS PAC ID: 0648226811 Enrollment ID: I20050330001016 |
| Provider Name | Markos I Koutsos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295818680 PECOS PAC ID: 8123118411 Enrollment ID: I20071227000192 |
| Provider Name | Roy Gan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851353270 PECOS PAC ID: 9436189065 Enrollment ID: I20120220000668 |
| Provider Name | Zesong Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649522392 PECOS PAC ID: 8325292386 Enrollment ID: I20130129000440 |
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