Provider Demographics
NPI:1174900948
Name:COMPASSIONATE MEDICAL CARE PLLC
Entity type:Organization
Organization Name:COMPASSIONATE MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSMERY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-727-0778
Mailing Address - Street 1:222 LOCKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4811
Mailing Address - Country:US
Mailing Address - Phone:718-618-0618
Mailing Address - Fax:212-504-8344
Practice Address - Street 1:1776 BOSTON RD # STORE1B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-5076
Practice Address - Country:US
Practice Address - Phone:718-618-0618
Practice Address - Fax:212-504-8344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224708-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HSZ899YQRDOtherMEDICARE RAPID CITY INDIAN HEALTH SERVICE HOSPITAL1316900327 INFECTIOUS DISEASE