| Eben-ezer Medical Associates P.c | |
|
275 Jerusalem Ave Hempstead NY 11550-6436 | |
| (516) 483-3311 | |
| (516) 483-2805 |
| Full Name | Eben-ezer Medical Associates P.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 275 Jerusalem Ave, Hempstead, New York |
| Authorized Official Name and Position | Joel Bedard (PRESIDENT) |
| Authorized Official Contact | 5164833311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eben-ezer Medical Associates P.c 275 Jerusalem Ave Hempstead NY 11550-6436 Ph: (516) 483-3311 | Eben-ezer Medical Associates P.c 275 Jerusalem Ave Hempstead NY 11550-6436 Ph: (516) 483-3311 |
| NPI Number | 1568512333 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 10/24/2014 |
| Medicare PECOS PAC ID | 2062582604 |
|---|---|
| Medicare Enrollment ID | O20080609000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568512333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 175353 (New York) | Primary |
| Provider Name | Joel Bedard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770538191 PECOS PAC ID: 0446258768 Enrollment ID: I20061121000540 |
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