Organization
DOUBLE CARE MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR MOLIVER M.D., D.O. (PRESIDENT)
(212) 795-9500
Entity
Organization
Contact information
Practice address
400 FORT WASHINGTON AVE, SUITE 1A, NEW YORK, NY 10033-6849
(212) 795-9500
Mailing address
400 FORT WASHINGTON AVE, SUITE 1A, NEW YORK, NY 10033-6849
(212) 795-9500
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
210590
NY
261QH0100X
Health Service Clinic/Center
213232
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01952661
—
NY
05
—
02065158
—
NY
01
—
080404000114
FIDELIS
NY
01
—
2188529
AETNA
NY
01
—
3029589
AETNA
NY
01
—
41455P
HIP USA
NY
01
—
5996988
GHI
NY
01
—
5998925
GHI
NY
01
—
P1834354
OXFORD
NY
01
—
P2513676
OXFORD
NY
Enumeration date
05/06/2009
Last updated
10/05/2009
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