| Corehealth Medical Care Pllc | |
|
247-39 Jamaica Ave 2nd Floor Queens NY 11426-1541 | |
| (718) 343-2045 | |
| (718) 343-2088 |
| Full Name | Corehealth Medical Care Pllc |
|---|---|
| Speciality | Radiology |
| Location | 247-39 Jamaica Ave, Queens, New York |
| Authorized Official Name and Position | Steve Chikezie Ideyi (OWNER) |
| Authorized Official Contact | 7183432045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corehealth Medical Care Pllc 24739 Jamaica 2nd Floor Bellerose NY 11426-1541 Ph: (718) 343-2045 | Corehealth Medical Care Pllc 247-39 Jamaica Ave 2nd Floor Queens NY 11426-1541 Ph: (718) 343-2045 |
| NPI Number | 1609151950 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 05/24/2013 |
| Medicare PECOS PAC ID | 6406001148 |
|---|---|
| Medicare Enrollment ID | O20130301000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609151950 | NPI | - | NPPES |
| Provider Name | Steve C Ideyi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821188236 PECOS PAC ID: 8022066950 Enrollment ID: I20050107000364 |
| Provider Name | Monica Amona Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417904962 PECOS PAC ID: 9537258710 Enrollment ID: I20071211000657 |
| Provider Name | Philomene Goueliani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891102885 PECOS PAC ID: 4385989243 Enrollment ID: I20181220002033 |
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