| Boulevard Multispecialty Medical Pc | |
|
10149 Woohaven Blvd Ozone Park NY 11416 | |
| (718) 641-4900 | |
| (718) 641-4905 |
| Full Name | Boulevard Multispecialty Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10149 Woohaven Blvd, Ozone Park, New York |
| Authorized Official Name and Position | Gordon C Davis (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7186414900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulevard Multispecialty Medical Pc 10149 Woohaven Blvd Ozone Park NY 11416 Ph: (718) 641-4900 | Boulevard Multispecialty Medical Pc 10149 Woohaven Blvd Ozone Park NY 11416 Ph: (718) 641-4900 |
| NPI Number | 1730245366 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4880586502 |
|---|---|
| Medicare Enrollment ID | O20040326001409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730245366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 24145 (New York) | Primary |
| Provider Name | Charles J Demarco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285634576 PECOS PAC ID: 4183525165 Enrollment ID: I20040311001285 |
| Provider Name | Janna Gefter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124129390 PECOS PAC ID: 2163415563 Enrollment ID: I20040402001444 |
| Provider Name | Robert D. Solomon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720050040 PECOS PAC ID: 5890780209 Enrollment ID: I20040415001272 |
| Provider Name | Robert A Towner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285681650 PECOS PAC ID: 5092798272 Enrollment ID: I20040609000717 |
| Provider Name | Edward N Moss |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568426914 PECOS PAC ID: 4688642341 Enrollment ID: I20040921000087 |
| Provider Name | Peter E Nnaemeka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699734921 PECOS PAC ID: 7315915717 Enrollment ID: I20040923000268 |
| Provider Name | Richard P Friedlander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528054137 PECOS PAC ID: 7618937673 Enrollment ID: I20041014000256 |
| Provider Name | Gordon C Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124153101 PECOS PAC ID: 0244122968 Enrollment ID: I20060209000506 |
| Provider Name | Peter A Guiney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306903638 PECOS PAC ID: 0143404624 Enrollment ID: I20110407000157 |
Fortunato Santi Difranco M.d. P.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7506 Liberty Ave, Ozone Park, NY 11417 Phone: 718-848-9105 Fax: 718-848-1114 | |
Aris Diagnostic Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8809 101st Ave, Ozone Park, NY 11416 Phone: 718-577-5152 Fax: 718-835-7564 | |
All Axis Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10706 Liberty Ave, Ozone Park, NY 11417 Phone: 917-379-4445 | |
Woo Sup Kim M D P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9711 101st Ave, Ozone Park, NY 11416 Phone: 718-845-6000 | |
Joseph P. Addabbo Family Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105-34 Rockaway Boulevard, Ozone Park, NY 11417 Phone: 718-945-7150 Fax: 718-945-2596 | |
Ozone Park Quality Care Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7721 101st Ave Fl 1, Ozone Park, NY 11416 Phone: 718-322-4014 Fax: 718-322-4015 | |
Pediaaids Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9747 77th St, Ozone Park, NY 11416 Phone: 718-360-0907 Fax: 718-395-1737 |