| Veronica Medical, P.a. | |
|
330 Hudson St Ste 300 New York NY 10013-1046 | |
| (315) 381-0856 | |
| (315) 849-3084 |
| Full Name | Veronica Medical, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 Hudson St Ste 300, New York, New York |
| Authorized Official Name and Position | Zaid Fadul (CEO) |
| Authorized Official Contact | 3153810856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Veronica Medical, P.a. 330 Hudson St Ste 300 New York NY 10013-1046 Ph: (315) 381-0856 | Veronica Medical, P.a. 330 Hudson St Ste 300 New York NY 10013-1046 Ph: (315) 381-0856 |
| NPI Number | 1548017460 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 09/05/2024 |
| Medicare PECOS PAC ID | 3779924485 |
|---|---|
| Medicare Enrollment ID | O20240513002125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548017460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ava Carroll Haymon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154492155 PECOS PAC ID: 0244286201 Enrollment ID: I20050323000842 |
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