| Careserver Medical Services, Pllc | |
|
6451 Central Ave Glendale NY 11385-6258 | |
| (718) 821-4424 | |
| Not Available |
| Full Name | Careserver Medical Services, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6451 Central Ave, Glendale, New York |
| Authorized Official Name and Position | Andras Fenyves (DIRECTOR) |
| Authorized Official Contact | 7186697645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careserver Medical Services, Pllc 381 5th St Brooklyn NY 11215-2806 Ph: (718) 780-1000 | Careserver Medical Services, Pllc 6451 Central Ave Glendale NY 11385-6258 Ph: (718) 821-4424 |
| NPI Number | 1609574896 |
|---|---|
| Provider Enumeration Date | 02/17/2023 |
| Last Update Date | 05/21/2024 |
| Medicare PECOS PAC ID | 7315383387 |
|---|---|
| Medicare Enrollment ID | O20240313000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609574896 | NPI | - | NPPES |
| 5938953 | Other | NY | NEW YORK STATE DOS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anahid Nisanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942386735 PECOS PAC ID: 6406818889 Enrollment ID: I20041028000367 |
| Provider Name | Steven O Addo-yobo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548553605 PECOS PAC ID: 7012367675 Enrollment ID: I20231221002912 |
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