| Silverlife Np In Adult Health P.c. | |
|
5836 254th St Little Neck NY 11362-2124 | |
| (917) 566-7645 | |
| Not Available |
| Full Name | Silverlife Np In Adult Health P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5836 254th St, Little Neck, New York |
| Authorized Official Name and Position | Gina Lee (NP/PRESIDENT) |
| Authorized Official Contact | 9175667645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silverlife Np In Adult Health P.c. 3618 171st St Flushing NY 11358-2209 Ph: (917) 566-7645 | Silverlife Np In Adult Health P.c. 5836 254th St Little Neck NY 11362-2124 Ph: (917) 566-7645 |
| NPI Number | 1699314179 |
|---|---|
| Provider Enumeration Date | 12/31/2019 |
| Last Update Date | 12/31/2019 |
| Certification Date | 12/31/2019 |
| Medicare PECOS PAC ID | 5496165490 |
|---|---|
| Medicare Enrollment ID | O20201103001164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699314179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gina M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083037964 PECOS PAC ID: 0941524391 Enrollment ID: I20150113002343 |
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