| Caredoc Medical Pc | |
|
45 Hill Park Ave #1-o Great Neck NY 11021-3719 | |
| (347) 389-4945 | |
| Not Available |
| Full Name | Caredoc Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 45 Hill Park Ave #1-o, Great Neck, New York |
| Authorized Official Name and Position | Yana Berk (OWNER) |
| Authorized Official Contact | 3473894945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caredoc Medical Pc 45 Hill Park Ave #1-o Great Neck NY 11021-3719 Ph: (347) 389-4945 | Caredoc Medical Pc 45 Hill Park Ave #1-o Great Neck NY 11021-3719 Ph: (347) 389-4945 |
| NPI Number | 1093192858 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 06/17/2022 |
| Medicare PECOS PAC ID | 5193037489 |
|---|---|
| Medicare Enrollment ID | O20150629002426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093192858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 192338 (New York) | Primary |
| Provider Name | Yana Shamaev Berk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972613768 PECOS PAC ID: 4688655236 Enrollment ID: I20040528000338 |
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