| Bellerose Medicalcare P.c. | |
|
8602 Musket St Queens Village NY 11427-2718 | |
| (718) 776-0555 | |
| (718) 776-7271 |
| Full Name | Bellerose Medicalcare P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8602 Musket St, Queens Village, New York |
| Authorized Official Name and Position | Kanan Barot (BILLING MANAGER) |
| Authorized Official Contact | 5166930700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellerose Medicalcare P.c. 1100 Shames Dr Suite 100 Westbury NY 11590-1765 Ph: (516) 693-0700 | Bellerose Medicalcare P.c. 8602 Musket St Queens Village NY 11427-2718 Ph: (718) 776-0555 |
| NPI Number | 1265533517 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9032129689 |
|---|---|
| Medicare Enrollment ID | O20060427000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265533517 | NPI | - | NPPES |
| 02056100 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 214896 (New York) | Primary |
| Provider Name | Azra Wiqas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033210646 PECOS PAC ID: 7315957875 Enrollment ID: I20060501000172 |
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