| Vault Medical Services Pa | |
|
133 E 58th St Ste 512 New York NY 10022-1145 | |
| (212) 880-5494 | |
| Not Available |
| Full Name | Vault Medical Services Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 133 E 58th St Ste 512, New York, New York |
| Authorized Official Name and Position | Alexander Wojciech Pastuszak (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 4154122934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vault Medical Services Pa 85 5th Ave Fl 8 New York NY 10003-3019 Ph: (212) 880-5494 | Vault Medical Services Pa 133 E 58th St Ste 512 New York NY 10022-1145 Ph: (212) 880-5494 |
| NPI Number | 1295348019 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 09/18/2020 |
| Medicare PECOS PAC ID | 6406266766 |
|---|---|
| Medicare Enrollment ID | O20201028000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295348019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric A Nazziola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700811155 PECOS PAC ID: 4183618267 Enrollment ID: I20040412001286 |
| Provider Name | Arpan K Tolia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407389810 PECOS PAC ID: 8022438431 Enrollment ID: I20201022003575 |
| Provider Name | Alexander Wojciech Pastuszak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609020130 PECOS PAC ID: 0840508735 Enrollment ID: I20201030000015 |
| Provider Name | Myles D. Spar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013028307 PECOS PAC ID: 3072597327 Enrollment ID: I20210930001943 |
| Provider Name | Donny Perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043322399 PECOS PAC ID: 6901990787 Enrollment ID: I20211012002366 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |