Dulce M. Almanzar, M.d., Pc | |
1377 5th Ave Bay Shore NY 11706-4131 | |
(631) 647-3265 | |
Not Available |
Full Name | Dulce M. Almanzar, M.d., Pc |
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Speciality | Family Medicine |
Location | 1377 5th Ave, Bay Shore, New York |
Authorized Official Name and Position | Dulce M Almanzar (PRESIDENT) |
Authorized Official Contact | 6316473265 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dulce M. Almanzar, M.d., Pc 152 Geneva St Bay Shore NY 11706-4636 Ph: (631) 647-3265 | Dulce M. Almanzar, M.d., Pc 1377 5th Ave Bay Shore NY 11706-4131 Ph: (631) 647-3265 |
NPI Number | 1942312590 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 09/10/2010 |
Medicare PECOS PAC ID | 0042336422 |
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Medicare Enrollment ID | O20100922000867 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942312590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Dulce Milagros Almanzar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760458715 PECOS PAC ID: 5890684112 Enrollment ID: I20040315000165 |
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