| Stephen Asiedu Medical Practice, P.c. | |
|
1409 Webster Ave Bronx NY 10456-1831 | |
| (917) 444-1583 | |
| (718) 681-7191 |
| Full Name | Stephen Asiedu Medical Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1409 Webster Ave, Bronx, New York |
| Authorized Official Name and Position | Stephen Asiedu (OWNER / PHYSICIAN) |
| Authorized Official Contact | 9174441583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Asiedu Medical Practice, P.c. 66 Fisher Ave Tuckahoe NY 10707-2608 Ph: (917) 801-4410 | Stephen Asiedu Medical Practice, P.c. 1409 Webster Ave Bronx NY 10456-1831 Ph: (917) 444-1583 |
| NPI Number | 1306296561 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 8426338922 |
|---|---|
| Medicare Enrollment ID | O20161129000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306296561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen Asiedu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245548114 PECOS PAC ID: 4688853922 Enrollment ID: I20140324000658 |
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