| Abed Al-mawla Jandali M.d. Pc | |
|
13 Arch St Green Island NY 12183-1329 | |
| (518) 274-4654 | |
| (518) 274-4654 |
| Full Name | Abed Al-mawla Jandali M.d. Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13 Arch St, Green Island, New York |
| Authorized Official Name and Position | Abed Al-mawla Jandali Pc (OWNER) |
| Authorized Official Contact | 5182744654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abed Al-mawla Jandali M.d. Pc 13 Arch St Green Island NY 12183-1329 Ph: (518) 274-4654 | Abed Al-mawla Jandali M.d. Pc 13 Arch St Green Island NY 12183-1329 Ph: (518) 274-4654 |
| NPI Number | 1083950117 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 05/01/2024 |
| Medicare PECOS PAC ID | 0749425221 |
|---|---|
| Medicare Enrollment ID | O20130404000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083950117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Riverside Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Lower Hudson Avenue Village Plaza, Green Island, NY 12183 Phone: 518-237-7033 |