| Fegs Far Rockaway Mntl Hlth | |
|
1600 Central Ave Far Rockaway NY 11691-4008 | |
| (718) 327-1600 | |
| (718) 868-4792 |
| Full Name | Fegs Far Rockaway Mntl Hlth |
|---|---|
| Speciality | Clinic/center |
| Location | 1600 Central Ave, Far Rockaway, New York |
| Authorized Official Name and Position | Jonas Waizer (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2123668024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fegs Far Rockaway Mntl Hlth 315 Hudson St 9th Fl. New York NY 10013-1009 Ph: (212) 366-8007 | Fegs Far Rockaway Mntl Hlth 1600 Central Ave Far Rockaway NY 11691-4008 Ph: (718) 327-1600 |
| NPI Number | 1215976113 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 04/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215976113 | NPI | - | NPPES |
| 00257805 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6287100A (New York) | Primary |
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Samuel Bavli, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Beach 19th St, Department Of Medicine, Far Rockaway, NY 11691 Phone: 718-869-7315 |