| Revolve Medical Services Pc | |
|
414 Central Ave Cedarhurst NY 11516-1907 | |
| (347) 344-7466 | |
| Not Available |
| Full Name | Revolve Medical Services Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 414 Central Ave, Cedarhurst, New York |
| Authorized Official Name and Position | Benjamin Weiss (OWNER) |
| Authorized Official Contact | 3473447466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolve Medical Services Pc 414 Central Ave Cedarhurst NY 11516-1907 Ph: (347) 344-7466 | Revolve Medical Services Pc 414 Central Ave Cedarhurst NY 11516-1907 Ph: (347) 344-7466 |
| NPI Number | 1942047865 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/09/2024 |
| Medicare PECOS PAC ID | 2769912088 |
|---|---|
| Medicare Enrollment ID | O20250214002905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942047865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Joshua M Melamed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134570914 PECOS PAC ID: 1052661659 Enrollment ID: I20230720002030 |
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