David Tavdy Medical Care Pc | |
10721 Queens Blvd Ste 6 Forest Hills NY 11375-4451 | |
(718) 261-2992 | |
Not Available |
Full Name | David Tavdy Medical Care Pc |
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Speciality | Internal Medicine |
Location | 10721 Queens Blvd Ste 6, Forest Hills, New York |
Authorized Official Name and Position | David Tavdy (PRESIDENT) |
Authorized Official Contact | 7182612992 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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David Tavdy Medical Care Pc 10721 Queens Blvd Ste 6 Forest Hills NY 11375-4451 Ph: (718) 261-2992 | David Tavdy Medical Care Pc 10721 Queens Blvd Ste 6 Forest Hills NY 11375-4451 Ph: (718) 261-2992 |
NPI Number | 1245746064 |
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Provider Enumeration Date | 12/15/2017 |
Last Update Date | 12/15/2017 |
Medicare PECOS PAC ID | 1052655966 |
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Medicare Enrollment ID | O20181204002180 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245746064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 230058 (New York) | Primary |
Provider Name | David Tavdy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710936232 PECOS PAC ID: 0840282059 Enrollment ID: I20040330001392 |
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