Citizen Medical Care Pllc | |
4000 Fuller Hollow Rd Vestal NY 13850-5542 | |
(518) 506-2773 | |
Not Available |
Full Name | Citizen Medical Care Pllc |
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Speciality | Internal Medicine |
Location | 4000 Fuller Hollow Rd, Vestal, New York |
Authorized Official Name and Position | Parvez Jafri (OWNER) |
Authorized Official Contact | 5184590711 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Citizen Medical Care Pllc 4000 Fuller Hollow Rd Vestal NY 13850-5542 Ph: (518) 506-2773 | Citizen Medical Care Pllc 4000 Fuller Hollow Rd Vestal NY 13850-5542 Ph: (518) 506-2773 |
NPI Number | 1952832123 |
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Provider Enumeration Date | 03/21/2017 |
Last Update Date | 03/21/2017 |
Medicare PECOS PAC ID | 3870860810 |
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Medicare Enrollment ID | O20170523002758 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952832123 | NPI | - | NPPES |
PENDING | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Parvez Jafri |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043381296 PECOS PAC ID: 5294752762 Enrollment ID: I20051025000431 |
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