| Juno Medical Practice | |
|
2119 Frederick Douglass Blvd New York NY 10026-2392 | |
| (212) 300-2836 | |
| Not Available |
| Full Name | Juno Medical Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 2119 Frederick Douglass Blvd, New York, New York |
| Authorized Official Name and Position | Shante Hinson (OWNER) |
| Authorized Official Contact | 6093207998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juno Medical Practice 1485 5th Ave Apt 18c New York NY 10035-2778 Ph: (212) 300-2836 | Juno Medical Practice 2119 Frederick Douglass Blvd New York NY 10026-2392 Ph: (212) 300-2836 |
| NPI Number | 1558992206 |
|---|---|
| Provider Enumeration Date | 01/31/2020 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Medicare PECOS PAC ID | 1254762958 |
|---|---|
| Medicare Enrollment ID | O20210707001207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558992206 | NPI | - | NPPES |
| Provider Name | Carolyn Dudley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689651606 PECOS PAC ID: 0547251761 Enrollment ID: I20040518001110 |
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 |
Debra Green, MD PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 |
S. Nadesan Physician, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 |
Avraham Y Henoch MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 |
Vincent Esposito MD 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 |
Jeffrey Glick MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 |