| Dgn Family Medicine, Pllc, | |
|
11707 101st Ave 1st. Floor South Richmond Hill NY 11419-1227 | |
| (516) 993-8650 | |
| Not Available |
| Full Name | Dgn Family Medicine, Pllc, |
|---|---|
| Speciality | Clinic/Center |
| Location | 11707 101st Ave, South Richmond Hill, New York |
| Authorized Official Name and Position | Manpreet Singh (LEAD PHYSICIAN) |
| Authorized Official Contact | 5169938650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dgn Family Medicine, Pllc, 8414 246th St Bellerose NY 11426-1725 Ph: (516) 993-8650 | Dgn Family Medicine, Pllc, 11707 101st Ave 1st. Floor South Richmond Hill NY 11419-1227 Ph: (516) 993-8650 |
| NPI Number | 1992133227 |
|---|---|
| Provider Enumeration Date | 10/23/2013 |
| Last Update Date | 10/23/2013 |
| Medicare PECOS PAC ID | 0345472494 |
|---|---|
| Medicare Enrollment ID | O20140404000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992133227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Manpreet Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144520719 PECOS PAC ID: 8022289651 Enrollment ID: I20120817000180 |
| Provider Name | Baljinder K Grewal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619248135 PECOS PAC ID: 8325294705 Enrollment ID: I20120820000328 |
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