Cross Bay Medical Services Pc | |
15905 92nd St Howard Beach NY 11414 | |
(718) 835-3636 | |
(718) 835-0897 |
Full Name | Cross Bay Medical Services Pc |
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Speciality | Internal Medicine |
Location | 15905 92nd St, Howard Beach, New York |
Authorized Official Name and Position | Jay Kripalani (OWNER/PHYSICIAN) |
Authorized Official Contact | 7188353636 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cross Bay Medical Services Pc 15905 92nd St Howard Beach NY 11414-3123 Ph: (718) 835-3636 | Cross Bay Medical Services Pc 15905 92nd St Howard Beach NY 11414 Ph: (718) 835-3636 |
NPI Number | 1013239433 |
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Provider Enumeration Date | 02/26/2010 |
Last Update Date | 01/26/2022 |
Medicare PECOS PAC ID | 8921143348 |
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Medicare Enrollment ID | O20100310000231 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013239433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 215285 (New York) | Primary |
Provider Name | Jay R Kripalani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902965353 PECOS PAC ID: 0941269435 Enrollment ID: I20041008001271 |
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