| Bishop Medical Pc | |
|
8515 Main St Briarwood NY 11435-1879 | |
| (718) 523-7186 | |
| (718) 206-1370 |
| Full Name | Bishop Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8515 Main St, Briarwood, New York |
| Authorized Official Name and Position | Samuel E Ottong (PRESIDENT) |
| Authorized Official Contact | 7185237186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bishop Medical Pc 8515 Main St Briarwood NY 11435-1879 Ph: (718) 523-7186 | Bishop Medical Pc 8515 Main St Briarwood NY 11435-1879 Ph: (718) 523-7186 |
| NPI Number | 1205246410 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 04/28/2014 |
| Medicare PECOS PAC ID | 7911226493 |
|---|---|
| Medicare Enrollment ID | O20150505001264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205246410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 244387 (New York) | Primary |
| Provider Name | Samuel E Ottong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972706174 PECOS PAC ID: 3577733344 Enrollment ID: I20110906000008 |
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