| Afzal Hossain Physician Pc | |
|
8781 169th St Jamaica NY 11432-4438 | |
| (718) 297-4300 | |
| (718) 297-4302 |
| Full Name | Afzal Hossain Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8781 169th St, Jamaica, New York |
| Authorized Official Name and Position | Afzal Hossain (OWNER) |
| Authorized Official Contact | 7182974300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Afzal Hossain Physician Pc 75 Willow St Garden City NY 11530 Ph: (516) 248-1867 | Afzal Hossain Physician Pc 8781 169th St Jamaica NY 11432-4438 Ph: (718) 297-4300 |
| NPI Number | 1467709477 |
|---|---|
| Provider Enumeration Date | 08/08/2012 |
| Last Update Date | 08/01/2017 |
| Medicare PECOS PAC ID | 3173773587 |
|---|---|
| Medicare Enrollment ID | O20121020000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467709477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 234083 (New York) | Primary |
| Provider Name | Afzal Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699755447 PECOS PAC ID: 9638134711 Enrollment ID: I20041130001128 |
| Provider Name | Ashwad Afzal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003174301 PECOS PAC ID: 3678880861 Enrollment ID: I20150921002424 |
| Provider Name | Iman Afzal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134653603 PECOS PAC ID: 7416372875 Enrollment ID: I20200731001434 |
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