| Cordial Medical, P.c. | |
|
100 Broadhollow Rd Ste 106 Farmingdale NY 11735-4813 | |
| (631) 693-6644 | |
| (631) 693-4389 |
| Full Name | Cordial Medical, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Broadhollow Rd Ste 106, Farmingdale, New York |
| Authorized Official Name and Position | Mohammud Alam (MD, OWNER) |
| Authorized Official Contact | 6316936644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordial Medical, P.c. 22001 Jamaica Ave 2nd Fl Queens Village NY 11428-2140 Ph: (718) 878-4177 | Cordial Medical, P.c. 100 Broadhollow Rd Ste 106 Farmingdale NY 11735-4813 Ph: (631) 693-6644 |
| NPI Number | 1528512894 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 02/21/2018 |
| Medicare PECOS PAC ID | 6800158817 |
|---|---|
| Medicare Enrollment ID | O20180402000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528512894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Joann Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801803028 PECOS PAC ID: 3173410966 Enrollment ID: I20040304000739 |
| Provider Name | Mohammud M Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881601052 PECOS PAC ID: 3971495821 Enrollment ID: I20040326000263 |
| Provider Name | Sofia M Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326388463 PECOS PAC ID: 2163647215 Enrollment ID: I20140702002158 |
| Provider Name | Zahida Kabir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861807943 PECOS PAC ID: 7315209327 Enrollment ID: I20180402001047 |
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