| Cutting Edge Medical P.c | |
|
493 Beach 20th St Far Rockaway NY 11691-3621 | |
| (718) 327-6400 | |
| (718) 327-2218 |
| Full Name | Cutting Edge Medical P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 493 Beach 20th St, Far Rockaway, New York |
| Authorized Official Name and Position | Alexander Vaysman (PRESIDENT) |
| Authorized Official Contact | 7183276400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cutting Edge Medical P.c 204 Combs Ave Woodmere NY 11598-1456 Ph: (718) 327-6400 | Cutting Edge Medical P.c 493 Beach 20th St Far Rockaway NY 11691-3621 Ph: (718) 327-6400 |
| NPI Number | 1558319277 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6002872264 |
|---|---|
| Medicare Enrollment ID | O20041208001204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558319277 | NPI | - | NPPES |
| 01584418 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 199940 (New York) | Primary |
| Provider Name | Alexander Vaysman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396793113 PECOS PAC ID: 0244128932 Enrollment ID: I20040305000020 |
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