A Khan Physician Pc | |
187 Dot Ct E Oceanside NY 11572-5920 | |
(516) 404-1660 | |
(516) 404-1660 |
Full Name | A Khan Physician Pc |
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Speciality | Clinic/Center |
Location | 187 Dot Ct E, Oceanside, New York |
Authorized Official Name and Position | Diane Valva (OFFICE MANAGER) |
Authorized Official Contact | 5167643310 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A Khan Physician Pc 187 Dot Ct E Oceanside NY 11572-5920 Ph: (516) 404-1660 | A Khan Physician Pc 187 Dot Ct E Oceanside NY 11572-5920 Ph: (516) 404-1660 |
NPI Number | 1710491592 |
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Provider Enumeration Date | 12/01/2017 |
Last Update Date | 03/17/2018 |
Medicare PECOS PAC ID | 8628313616 |
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Medicare Enrollment ID | O20181219002115 |
Identifier | Type | State | Issuer |
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1710491592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Aijaz Khan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912984063 PECOS PAC ID: 7911944350 Enrollment ID: I20050421001596 |
Mes Medical Consultingpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 Elaine Dr, Oceanside, NY 11572 Phone: 516-286-0094 | |
William H. Simon, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2940 Lincoln Ave, Suite201, Oceanside, NY 11572 Phone: 516-766-6808 Fax: 516-766-5218 | |