| Rockland Infectious Disease Medical Practice P. C | |
|
259 N Middletown Rd Suite1 B Nanuet NY 10954-1220 | |
| (845) 624-4057 | |
| (845) 624-4059 |
| Full Name | Rockland Infectious Disease Medical Practice P. C |
|---|---|
| Speciality | Internal Medicine |
| Location | 259 N Middletown Rd, Nanuet, New York |
| Authorized Official Name and Position | Foluke O Salu (PRESIDENT) |
| Authorized Official Contact | 8456244057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockland Infectious Disease Medical Practice P. C 259 N Middletown Rd Suite1 B Nanuet NY 10954-1220 Ph: (845) 624-4057 | Rockland Infectious Disease Medical Practice P. C 259 N Middletown Rd Suite1 B Nanuet NY 10954-1220 Ph: (845) 624-4057 |
| NPI Number | 1356516900 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Medicare PECOS PAC ID | 1951393842 |
|---|---|
| Medicare Enrollment ID | O20040331001379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356516900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 189907 (New York) | Primary |
| Provider Name | Foluke O Salu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922063098 PECOS PAC ID: 5395632780 Enrollment ID: I20040301001060 |
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