| Alliance Family Medical Practice, P.c. | |
|
183 Broadway Ste 308 Hicksville NY 11801-4242 | |
| (516) 486-0094 | |
| (516) 486-0110 |
| Full Name | Alliance Family Medical Practice, P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 183 Broadway Ste 308, Hicksville, New York |
| Authorized Official Name and Position | Ruhayna Mukhi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5164860094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Family Medical Practice, P.c. 183 Broadway Ste 308 Hicksville NY 11801-4242 Ph: (516) 486-0094 | Alliance Family Medical Practice, P.c. 183 Broadway Ste 308 Hicksville NY 11801-4242 Ph: (516) 486-0094 |
| NPI Number | 1144335977 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 01/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144335977 | NPI | - | NPPES |
| 02702821 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 236676 (New York) | Primary |
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