| Sh Medical Care Of Michigan Pc | |
|
60 Madison Ave Fl 2 New York NY 10010-1600 | |
| (855) 701-1720 | |
| Not Available |
| Full Name | Sh Medical Care Of Michigan Pc |
|---|---|
| Speciality | Psychologist |
| Location | 60 Madison Ave Fl 2, New York, New York |
| Authorized Official Name and Position | Zaid Fadul (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Contact | 4804906656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sh Medical Care Of Michigan Pc 60 Madison Ave Fl 2 New York NY 10010-1600 Ph: (855) 701-1720 | Sh Medical Care Of Michigan Pc 60 Madison Ave Fl 2 New York NY 10010-1600 Ph: (855) 701-1720 |
| NPI Number | 1063073112 |
|---|---|
| Provider Enumeration Date | 06/27/2019 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 1850741455 |
|---|---|
| Medicare Enrollment ID | O20231222000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063073112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Zaid Fadul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740593797 PECOS PAC ID: 4385885276 Enrollment ID: I20231222000631 |
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