| E H Reliable Medical Pc | |
|
1946 Bath Ave Brooklyn NY 11214 | |
| (718) 996-7460 | |
| (718) 996-7461 |
| Full Name | E H Reliable Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1946 Bath Ave, Brooklyn, New York |
| Authorized Official Name and Position | Elsayed H Eldeeb (PRESIDENT) |
| Authorized Official Contact | 7188337466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E H Reliable Medical Pc 1946 Bath Ave Brooklyn NY 11214-4704 Ph: (718) 996-7460 | E H Reliable Medical Pc 1946 Bath Ave Brooklyn NY 11214 Ph: (718) 996-7460 |
| NPI Number | 1639438492 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 01/04/2019 |
| Medicare PECOS PAC ID | 7416113378 |
|---|---|
| Medicare Enrollment ID | O20120720000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639438492 | NPI | - | NPPES |
| 00637605 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 262324 (New York) | Primary |
| Provider Name | Elsayed H Eldeeb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417287400 PECOS PAC ID: 2769649771 Enrollment ID: I20120202000564 |
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