| Endocrinology Professional Of Ny, Pc | |
|
804 Meacham Ave Elmont NY 11003-4701 | |
| (516) 218-2500 | |
| (516) 218-2502 |
| Full Name | Endocrinology Professional Of Ny, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 804 Meacham Ave, Elmont, New York |
| Authorized Official Name and Position | Fauzia Syed-khan (PRESIDENT) |
| Authorized Official Contact | 7182740105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Professional Of Ny, Pc 26 Locust St Greenvale NY 11548-1110 Ph: (516) 218-2500 | Endocrinology Professional Of Ny, Pc 804 Meacham Ave Elmont NY 11003-4701 Ph: (516) 218-2500 |
| NPI Number | 1033502703 |
|---|---|
| Provider Enumeration Date | 03/05/2015 |
| Last Update Date | 04/30/2015 |
| Medicare PECOS PAC ID | 4183944465 |
|---|---|
| Medicare Enrollment ID | O20150528001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033502703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 228656 (New York) | Primary |
| Provider Name | Fauzia F Syed-khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043256928 PECOS PAC ID: 9436141694 Enrollment ID: I20040330001702 |
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