| Caring Hospitalist Li Medical Pc | |
|
90 Wildwood Rd Great Neck NY 11024-1223 | |
| (516) 796-4433 | |
| (516) 796-4288 |
| Full Name | Caring Hospitalist Li Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 90 Wildwood Rd, Great Neck, New York |
| Authorized Official Name and Position | Bita Ashourzadeh (MD) |
| Authorized Official Contact | 5166105081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Hospitalist Li Medical Pc 90 Wildwood Rd Great Neck NY 11024-1223 Ph: (516) 796-4433 | Caring Hospitalist Li Medical Pc 90 Wildwood Rd Great Neck NY 11024-1223 Ph: (516) 796-4433 |
| NPI Number | 1649897398 |
|---|---|
| Provider Enumeration Date | 06/29/2020 |
| Last Update Date | 05/25/2021 |
| Medicare PECOS PAC ID | 9436558418 |
|---|---|
| Medicare Enrollment ID | O20210524002342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649897398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bita Ashourzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790720027 PECOS PAC ID: 7113900309 Enrollment ID: I20040609000820 |
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