| Park Avenue Health Center | |
|
421 Route 59 Monsey NY 10952-2835 | |
| (845) 671-4000 | |
| (845) 671-4200 |
| Full Name | Park Avenue Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 421 Route 59, Monsey, New York |
| Authorized Official Name and Position | Efraim Steif (MEMBER) |
| Authorized Official Contact | 8452283350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Health Center 421 Route 59 Monsey NY 10952-2835 Ph: (845) 671-4000 | Park Avenue Health Center 421 Route 59 Monsey NY 10952-2835 Ph: (845) 671-4000 |
| NPI Number | 1205446028 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 01/10/2023 |
| Medicare PECOS PAC ID | 0840603494 |
|---|---|
| Medicare Enrollment ID | O20201229000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205446028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | James B Israel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497726491 PECOS PAC ID: 9638206618 Enrollment ID: I20100422000887 |
| Provider Name | Joseph Nissenfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497956668 PECOS PAC ID: 2264677061 Enrollment ID: I20130327000432 |
| Provider Name | Mordechai Mark Weinreb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972894426 PECOS PAC ID: 4183050826 Enrollment ID: I20200129000086 |
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