| Community First Medical Pllc | |
|
7415 37th Ave Jackson Heights NY 11372-6339 | |
| (929) 575-5656 | |
| (929) 575-4075 |
| Full Name | Community First Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7415 37th Ave, Jackson Heights, New York |
| Authorized Official Name and Position | Seeam Nur Haque (OWNER/PRESIDENT) |
| Authorized Official Contact | 9177203477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community First Medical Pllc 62 Norman Ln Levittown NY 11756-1708 Ph: (917) 720-3477 | Community First Medical Pllc 7415 37th Ave Jackson Heights NY 11372-6339 Ph: (929) 575-5656 |
| NPI Number | 1588282131 |
|---|---|
| Provider Enumeration Date | 07/10/2020 |
| Last Update Date | 09/15/2023 |
| Medicare PECOS PAC ID | 9234556937 |
|---|---|
| Medicare Enrollment ID | O20200826001970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588282131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Seeam Nur Haque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487041554 PECOS PAC ID: 7113261702 Enrollment ID: I20181210000278 |
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