| Eaw Medical Care Pllc | |
|
612 Schenectady Ave Brooklyn NY 11203-1821 | |
| (917) 207-6792 | |
| Not Available |
| Full Name | Eaw Medical Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 612 Schenectady Ave, Brooklyn, New York |
| Authorized Official Name and Position | Everton Prospere (MEDICAL DOCTOR) |
| Authorized Official Contact | 9172076792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eaw Medical Care Pllc 612 Schenectady Ave Brooklyn NY 11203-1821 Ph: (917) 207-6792 | Eaw Medical Care Pllc 612 Schenectady Ave Brooklyn NY 11203-1821 Ph: (917) 207-6792 |
| NPI Number | 1073778916 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 04/17/2009 |
| Medicare PECOS PAC ID | 1153488390 |
|---|---|
| Medicare Enrollment ID | O20090316000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073778916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 226783 (New York) | Primary |
| Provider Name | Everton A Prospere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497740807 PECOS PAC ID: 3779475090 Enrollment ID: I20040329001805 |
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