| Elmont Medical Pc | |
|
135 Rockmart Ave Elmont NY 11003-1731 | |
| (516) 354-5600 | |
| (516) 354-1480 |
| Full Name | Elmont Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 135 Rockmart Ave, Elmont, New York |
| Authorized Official Name and Position | Akwasi Afriyi Achampong (PHYSICIAN) |
| Authorized Official Contact | 5163545600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmont Medical Pc Po Box 30682 Elmont NY 11003-0682 Ph: (516) 654-5600 | Elmont Medical Pc 135 Rockmart Ave Elmont NY 11003-1731 Ph: (516) 354-5600 |
| NPI Number | 1841391695 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 05/09/2008 |
| Medicare PECOS PAC ID | 3870498371 |
|---|---|
| Medicare Enrollment ID | O20070817000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841391695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 216449 (New York) | Primary |
| Provider Name | Akwasi A. Achampong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427168210 PECOS PAC ID: 0042123358 Enrollment ID: I20031111000752 |
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