| East Meadow Medical Pc | |
|
295 E Meadow Ave East Meadow NY 11554-2937 | |
| (516) 729-9786 | |
| Not Available |
| Full Name | East Meadow Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 295 E Meadow Ave, East Meadow, New York |
| Authorized Official Name and Position | Sebeen Razzaq-ahmed (PRESIDENT) |
| Authorized Official Contact | 5167299786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Meadow Medical Pc 35 Aberdeen Rd New Hyde Park NY 11040-2139 Ph: () - | East Meadow Medical Pc 295 E Meadow Ave East Meadow NY 11554-2937 Ph: (516) 729-9786 |
| NPI Number | 1841668753 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 09/09/2015 |
| Medicare PECOS PAC ID | 1355641606 |
|---|---|
| Medicare Enrollment ID | O20151118002313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841668753 | NPI | - | NPPES |
| 03552898 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 265114 (New York) | Primary |
| Provider Name | Sebeen Razzaq Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750649240 PECOS PAC ID: 0042460347 Enrollment ID: I20121023000286 |
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Long Island Nurse Practitioners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 Ronni Dr, East Meadow, NY 11554 Phone: 516-543-8630 | |
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