| Ez Medhealth Care Pc | |
|
101-20 Queens Blvd Ez Medhealth Care Pc Forest Hills NY 11375 | |
| (718) 730-0100 | |
| (718) 730-9439 |
| Full Name | Ez Medhealth Care Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 101-20 Queens Blvd, Forest Hills, New York |
| Authorized Official Name and Position | Vadim Davydov (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7187300100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ez Medhealth Care Pc 101- 20 Queens Blvd Ez Medhealth Care Pc Forest Hills NY 11375 Ph: (718) 730-0100 | Ez Medhealth Care Pc 101-20 Queens Blvd Ez Medhealth Care Pc Forest Hills NY 11375 Ph: (718) 730-0100 |
| NPI Number | 1245347301 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245347301 | NPI | - | NPPES |
| 02632364 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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