| Wakefield Ambulatory Care Center | |
|
4234 Bronx Blvd Bronx NY 10466-2611 | |
| (347) 341-4300 | |
| Not Available |
| Full Name | Wakefield Ambulatory Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4234 Bronx Blvd, Bronx, New York |
| Authorized Official Name and Position | Michael Dowling (DIRECTOR OF PROVIDER SERVICES) |
| Authorized Official Contact | 9143774668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakefield Ambulatory Care Center 100 Corporate Dr Yonkers NY 10701-6807 Ph: (914) 378-6163 | Wakefield Ambulatory Care Center 4234 Bronx Blvd Bronx NY 10466-2611 Ph: (347) 341-4300 |
| NPI Number | 1144228099 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 02/22/2016 |
| Medicare PECOS PAC ID | 9436116712 |
|---|---|
| Medicare Enrollment ID | O20041217000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144228099 | NPI | - | NPPES |
| 02553753 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Rumana Sabur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346341179 PECOS PAC ID: 1658338959 Enrollment ID: I20041218000131 |
| Provider Name | Barry J Fomberstein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417007261 PECOS PAC ID: 1254355860 Enrollment ID: I20060123000595 |
| Provider Name | Nandita Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467679357 PECOS PAC ID: 4789785833 Enrollment ID: I20090226000089 |
| Provider Name | Charles L Fishman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730181728 PECOS PAC ID: 1850467671 Enrollment ID: I20091230000533 |
| Provider Name | Jonathan Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568724896 PECOS PAC ID: 0547576951 Enrollment ID: I20150831002657 |
| Provider Name | Nicholas D Tyau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538483052 PECOS PAC ID: 3678889094 Enrollment ID: I20150831002921 |
| Provider Name | Renee Catherine Saenger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295050979 PECOS PAC ID: 7012225196 Enrollment ID: I20151009001774 |
| Provider Name | Niharika Joolukuntla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750644076 PECOS PAC ID: 5890005573 Enrollment ID: I20151109001974 |
| Provider Name | Richard A Silverman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114975091 PECOS PAC ID: 1951698166 Enrollment ID: I20160930001652 |
| Provider Name | Syed F Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033452776 PECOS PAC ID: 1456630748 Enrollment ID: I20161109000086 |
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