Comprehensive Primary Family Medical Care Of Ny, Pllc | |
1319 Cornaga Ave Far Rockaway NY 11691-5004 | |
(718) 327-2101 | |
(718) 471-3863 |
Full Name | Comprehensive Primary Family Medical Care Of Ny, Pllc |
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Speciality | Clinic/Center |
Location | 1319 Cornaga Ave, Far Rockaway, New York |
Authorized Official Name and Position | Joseph A. Louis (DIRECTOR) |
Authorized Official Contact | 7183272101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Primary Family Medical Care Of Ny, Pllc 1319 Cornaga Ave Far Rockaway NY 11691-5004 Ph: (718) 327-2101 | Comprehensive Primary Family Medical Care Of Ny, Pllc 1319 Cornaga Ave Far Rockaway NY 11691-5004 Ph: (718) 327-2101 |
NPI Number | 1699065003 |
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Provider Enumeration Date | 04/19/2011 |
Last Update Date | 02/25/2016 |
Medicare PECOS PAC ID | 6204011182 |
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Medicare Enrollment ID | O20110420000290 |
Identifier | Type | State | Issuer |
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1699065003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 231883 (New York) | Primary |
Provider Name | Joseph Andre Louis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295827798 PECOS PAC ID: 5597725515 Enrollment ID: I20041014000319 |
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