| Altair Medical Pc | |
|
1115 Ocean Pkwy Ste 1 Brooklyn NY 11230-4075 | |
| (718) 252-5300 | |
| Not Available |
| Full Name | Altair Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1115 Ocean Pkwy Ste 1, Brooklyn, New York |
| Authorized Official Name and Position | Lennie Hobenson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9177054047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altair Medical Pc 1615 Avenue I Apt 124 Brooklyn NY 11230-3044 Ph: (917) 705-4047 | Altair Medical Pc 1115 Ocean Pkwy Ste 1 Brooklyn NY 11230-4075 Ph: (718) 252-5300 |
| NPI Number | 1124290291 |
|---|---|
| Provider Enumeration Date | 03/29/2008 |
| Last Update Date | 03/22/2023 |
| Medicare PECOS PAC ID | 4981757036 |
|---|---|
| Medicare Enrollment ID | O20090806000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124290291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 210050 (New York) | Primary |
| Provider Name | Lennie Hobenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144228206 PECOS PAC ID: 7517954993 Enrollment ID: I20040428000197 |
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