| Phillip Malvasi D.o.l L C | |
|
1017 Youngstown Warren Rd Niles OH 44446-4620 | |
| (330) 544-5600 | |
| (330) 544-5550 |
| Full Name | Phillip Malvasi D.o.l L C |
|---|---|
| Speciality | Family Medicine |
| Location | 1017 Youngstown Warren Rd, Niles, Ohio |
| Authorized Official Name and Position | Phillip Malvasi Do Llc (SOLE MEMBER) |
| Authorized Official Contact | 3305445600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Malvasi D.o.l L C 1017 Youngstown Warren Rd Niles OH 44446-4620 Ph: (330) 544-5600 | Phillip Malvasi D.o.l L C 1017 Youngstown Warren Rd Niles OH 44446-4620 Ph: (330) 544-5600 |
| NPI Number | 1164943395 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8426320086 |
|---|---|
| Medicare Enrollment ID | O20170817001395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164943395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Phillip Malvasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376690438 PECOS PAC ID: 2961659255 Enrollment ID: I20120821000679 |
Joseph A Potocki Do Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 531 Robbins Ave, Niles, OH 44446 Phone: 330-544-3431 Fax: 330-544-3432 | |
Dr. Yogesh O. Sheth, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Robbins Ave, Niles, OH 44446 Phone: 330-652-7973 Fax: 330-652-7876 | |
Douglas A Dunlap, Do, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 654 Youngstown Warren Rd, Niles, OH 44446 Phone: 330-544-8113 Fax: 330-544-8164 | |
St. George Medical Practice, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1254 Youngstown Warren Rd, Suite 3 A, Niles, OH 44446 Phone: 330-652-3000 | |
Manuel T. Ting, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Vienna Ave, Niles, OH 44446 Phone: 330-652-9986 | |
Family Medical Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1150 Niles Cortland Rd, Niles, OH 44446 Phone: 330-652-1759 Fax: 330-652-2719 |