Bright Medical Pc | |
2849 37th St Astoria NY 11103-4332 | |
(516) 263-5831 | |
Not Available |
Full Name | Bright Medical Pc |
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Speciality | Family Medicine |
Location | 2849 37th St, Astoria, New York |
Authorized Official Name and Position | Khaled Osman (OWNER) |
Authorized Official Contact | 5162635831 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bright Medical Pc 2849 37th St Astoria NY 11103-4332 Ph: (516) 263-5831 | Bright Medical Pc 2849 37th St Astoria NY 11103-4332 Ph: (516) 263-5831 |
NPI Number | 1679864938 |
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Provider Enumeration Date | 04/21/2011 |
Last Update Date | 04/21/2011 |
Medicare PECOS PAC ID | 3577741909 |
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Medicare Enrollment ID | O20110707000027 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679864938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 247810 (New York) | Primary |
Provider Name | Khaled A Osman |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1518131846 PECOS PAC ID: 8628145786 Enrollment ID: I20080916000396 |
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