Amazing Medical Services P.c. | |
11016 Sutphin Blvd First Floor Jamaica NY 11435-5716 | |
(718) 526-7600 | |
(718) 526-7611 |
Full Name | Amazing Medical Services P.c. |
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Speciality | Internal Medicine |
Location | 11016 Sutphin Blvd, Jamaica, New York |
Authorized Official Name and Position | Oluwatoyosi Dairo (MEDICAL DIRECTOR) |
Authorized Official Contact | 3475282192 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amazing Medical Services P.c. 11016 Sutphin Blvd First Floor Jamaica NY 11435-5716 Ph: (718) 526-7600 | Amazing Medical Services P.c. 11016 Sutphin Blvd First Floor Jamaica NY 11435-5716 Ph: (718) 526-7600 |
NPI Number | 1417287905 |
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Provider Enumeration Date | 01/05/2010 |
Last Update Date | 01/05/2010 |
Medicare PECOS PAC ID | 4082757398 |
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Medicare Enrollment ID | O20100209000701 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417287905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 001671 (New York) | Primary |
Provider Name | Oluwatoyosi E Dairo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871686642 PECOS PAC ID: 3779580972 Enrollment ID: I20061101000120 |
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