| Doctors Immedicare | |
|
199 Hempstead Tpke West Hempstead NY 11552-1536 | |
| (516) 565-4110 | |
| (516) 565-3313 |
| Full Name | Doctors Immedicare |
|---|---|
| Speciality | Internal Medicine |
| Location | 199 Hempstead Tpke, West Hempstead, New York |
| Authorized Official Name and Position | Jingbo Liu (DIRECTOR) |
| Authorized Official Contact | 5165654110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Immedicare 199 Hempstead Tpke West Hempstead NY 11552-1536 Ph: (516) 565-4110 | Doctors Immedicare 199 Hempstead Tpke West Hempstead NY 11552-1536 Ph: (516) 565-4110 |
| NPI Number | 1053685727 |
|---|---|
| Provider Enumeration Date | 02/28/2012 |
| Last Update Date | 02/28/2012 |
| Medicare PECOS PAC ID | 7810158599 |
|---|---|
| Medicare Enrollment ID | O20120406000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053685727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Primary |
| Provider Name | Dan Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811052293 PECOS PAC ID: 7810919503 Enrollment ID: I20051221000981 |
| Provider Name | Jingbo Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003938770 PECOS PAC ID: 3375634587 Enrollment ID: I20070802000086 |
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Magnum Physicians Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 151 Hempstead Tpke, West Hempstead, NY 11552 Phone: 516-455-4427 | |
Doctors Immedicare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 Hempstead Tpke, West Hempstead, NY 11552 Phone: 516-565-4110 Fax: 516-565-3313 | |
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