Fresh Meadows Physician Practice Pllc | |
9131 175th St Jamaica NY 11432-5517 | |
(718) 709-0940 | |
Not Available |
Full Name | Fresh Meadows Physician Practice Pllc |
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Speciality | Internal Medicine |
Location | 9131 175th St, Jamaica, New York |
Authorized Official Name and Position | Peyman E Younesi (OWNER) |
Authorized Official Contact | 7187080940 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fresh Meadows Physician Practice Pllc 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 709-0940 | Fresh Meadows Physician Practice Pllc 9131 175th St Jamaica NY 11432-5517 Ph: (718) 709-0940 |
NPI Number | 1720775083 |
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Provider Enumeration Date | 04/18/2023 |
Last Update Date | 04/18/2023 |
Medicare PECOS PAC ID | 0941657811 |
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Medicare Enrollment ID | O20231114003265 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720775083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Emerth L Coburn |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477544096 PECOS PAC ID: 8022088806 Enrollment ID: I20040728001712 |
Provider Name | Janine Kramer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205891405 PECOS PAC ID: 4981613486 Enrollment ID: I20060411000610 |
Provider Name | Roseline N Ihim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790979391 PECOS PAC ID: 4183703663 Enrollment ID: I20080825000123 |
Provider Name | Georges R Ramalanjaona |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1104811785 PECOS PAC ID: 4587688429 Enrollment ID: I20081119000554 |
Provider Name | Florence Pua |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124105036 PECOS PAC ID: 3971796483 Enrollment ID: I20101015001206 |
Provider Name | Peyman Younesi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20110202000565 |
Provider Name | Surinder A Pal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538245139 PECOS PAC ID: 5294987624 Enrollment ID: I20121212000217 |
Provider Name | Israel Willis |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1932448701 PECOS PAC ID: 4789829839 Enrollment ID: I20150506000335 |
Provider Name | Cheol Woong Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881086874 PECOS PAC ID: 3971823824 Enrollment ID: I20150518001182 |
Provider Name | Ishtiaq Hossain |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104261379 PECOS PAC ID: 0345472999 Enrollment ID: I20160817000893 |
Provider Name | Georgey Easow |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083637805 PECOS PAC ID: 6204114572 Enrollment ID: I20161021000609 |
Provider Name | Ellis Enabosi |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1669866158 PECOS PAC ID: 3274890272 Enrollment ID: I20171129002536 |
Provider Name | Ryanna D Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285112441 PECOS PAC ID: 3274878301 Enrollment ID: I20181218003386 |
Provider Name | Mohammed Hasan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306232046 PECOS PAC ID: 9830521582 Enrollment ID: I20191118002498 |
Provider Name | Shyan Jagdeo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205459534 PECOS PAC ID: 7810308111 Enrollment ID: I20201117002010 |
Provider Name | Carine R Renois |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740894237 PECOS PAC ID: 7113334848 Enrollment ID: I20210325000999 |
Provider Name | Hasina Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689390007 PECOS PAC ID: 9133597164 Enrollment ID: I20221123001762 |
Provider Name | Arwinder Singh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982468005 PECOS PAC ID: 2961847140 Enrollment ID: I20240227003567 |
Provider Name | Umme Mobassera |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063278604 PECOS PAC ID: 9931642055 Enrollment ID: I20240618001019 |
Provider Name | Mousumi Barua |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669217899 PECOS PAC ID: 5890230635 Enrollment ID: I20240716003775 |
Provider Name | Ferdousi Yasmin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760219018 PECOS PAC ID: 0143751792 Enrollment ID: I20241007001870 |
Provider Name | Marline Attallah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306693981 PECOS PAC ID: 9335682426 Enrollment ID: I20241112002040 |
Provider Name | Samuel Alao |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780408625 PECOS PAC ID: 8224563127 Enrollment ID: I20241202002896 |
Provider Name | Marie Aurore Felix |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174348767 PECOS PAC ID: 7214462001 Enrollment ID: I20241203003030 |
Empire Gate Medical P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8810 Parsons Blvd, Jamaica, NY 11432 Phone: 718-291-8111 Fax: 718-487-9343 | |
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