| Metroplex Medical Care Pc | |
|
23807 Braddock Ave Bellerose NY 11426-1147 | |
| (718) 354-8300 | |
| (718) 347-9100 |
| Full Name | Metroplex Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23807 Braddock Ave, Bellerose, New York |
| Authorized Official Name and Position | Edouard M Belotte (CEO) |
| Authorized Official Contact | 5168356755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metroplex Medical Care Pc 23807 Braddock Ave Bellerose NY 11426-1147 Ph: (718) 354-8300 | Metroplex Medical Care Pc 23807 Braddock Ave Bellerose NY 11426-1147 Ph: (718) 354-8300 |
| NPI Number | 1750755088 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 11/24/2015 |
| Medicare PECOS PAC ID | 0547565418 |
|---|---|
| Medicare Enrollment ID | O20160302000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750755088 | NPI | - | NPPES |
| 221380 | Other | NY | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 221380 (New York) | Primary |
| Provider Name | Robert D. Solomon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720050040 PECOS PAC ID: 5890780209 Enrollment ID: I20040415001272 |
| Provider Name | Edouard M Belotte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720048374 PECOS PAC ID: 8224029145 Enrollment ID: I20040520000117 |
| Provider Name | Alex Vidal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336361385 PECOS PAC ID: 9537240239 Enrollment ID: I20090820000179 |
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