| Davenport Medical Care, P.c. | |
|
18 Shady Glen Ct Apt Ph1 New Rochelle NY 10805-1821 | |
| (516) 674-5858 | |
| Not Available |
| Full Name | Davenport Medical Care, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 18 Shady Glen Ct Apt Ph1, New Rochelle, New York |
| Authorized Official Name and Position | Bijan Zisman (MD) |
| Authorized Official Contact | 9177237777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davenport Medical Care, P.c. 18 Shady Glen Ct Apt Ph1 New Rochelle NY 10805-1821 Ph: () - | Davenport Medical Care, P.c. 18 Shady Glen Ct Apt Ph1 New Rochelle NY 10805-1821 Ph: (516) 674-5858 |
| NPI Number | 1275248064 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/17/2023 |
| Medicare PECOS PAC ID | 7719350610 |
|---|---|
| Medicare Enrollment ID | O20230223001325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275248064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hein Htet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083903041 PECOS PAC ID: 1850517129 Enrollment ID: I20140722001610 |
| Provider Name | Bijan G Zisman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164716510 PECOS PAC ID: 7618196544 Enrollment ID: I20140908002368 |
| Provider Name | Qian Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639437585 PECOS PAC ID: 1355650425 Enrollment ID: I20151013000869 |
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