| Community Medical Care .pc. | |
|
19909 Hillside Ave Hollis NY 11423-2130 | |
| (718) 454-1732 | |
| (718) 454-1564 |
| Full Name | Community Medical Care .pc. |
|---|---|
| Speciality | Family Medicine |
| Location | 19909 Hillside Ave, Hollis, New York |
| Authorized Official Name and Position | Nasreen Siddiqui Sarfaraz (DIRECTOR) |
| Authorized Official Contact | 7184541732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Care .pc. 62 Daley St New Hyde Park NY 11040-3604 Ph: (718) 454-1732 | Community Medical Care .pc. 19909 Hillside Ave Hollis NY 11423-2130 Ph: (718) 454-1732 |
| NPI Number | 1366657991 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 03/06/2013 |
| Medicare PECOS PAC ID | 7517914583 |
|---|---|
| Medicare Enrollment ID | O20050401000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366657991 | NPI | - | NPPES |
| 02129179 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nasreen Siddiqui Sarfaraz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306858469 PECOS PAC ID: 6507833217 Enrollment ID: I20040913000993 |
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