| Community Family Health Np, P.c. | |
|
210-16 69 Avenue Suite B Bayside NY 11364-2502 | |
| (718) 801-6318 | |
| (718) 798-0988 |
| Full Name | Community Family Health Np, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 210-16 69 Avenue, Bayside, New York |
| Authorized Official Name and Position | Mark Jesse Schwartz (PRESIDENT) |
| Authorized Official Contact | 7188016318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Family Health Np, P.c. 210-16 69 Avenue Suite B Bayside NY 11364-2502 Ph: (718) 801-6318 | Community Family Health Np, P.c. 210-16 69 Avenue Suite B Bayside NY 11364-2502 Ph: (718) 801-6318 |
| NPI Number | 1134818842 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 10/14/2023 |
| Medicare PECOS PAC ID | 3476903139 |
|---|---|
| Medicare Enrollment ID | O20231221002544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134818842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mark Jesse Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699471086 PECOS PAC ID: 5294185955 Enrollment ID: I20231221002770 |
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