| New Hope Medical Pc | |
|
9701 66th Ave Rego Park NY 11374-4245 | |
| (718) 275-2500 | |
| (718) 275-6864 |
| Full Name | New Hope Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9701 66th Ave, Rego Park, New York |
| Authorized Official Name and Position | Margarita Fuzaylova (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7182755200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Medical Pc 9701 66th Ave Rego Park NY 11374-4245 Ph: (718) 275-2500 | New Hope Medical Pc 9701 66th Ave Rego Park NY 11374-4245 Ph: (718) 275-2500 |
| NPI Number | 1598057812 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 05/04/2011 |
| Medicare PECOS PAC ID | 0648448068 |
|---|---|
| Medicare Enrollment ID | O20110729000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598057812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Margarita Fuzaylova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003991613 PECOS PAC ID: 2567452824 Enrollment ID: I20040517001573 |
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