Future Medical Pc | |
10205 Northern Blvd Corona NY 11368-5392 | |
(347) 420-0242 | |
(347) 464-0712 |
Full Name | Future Medical Pc |
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Speciality | Clinic/Center |
Location | 10205 Northern Blvd, Corona, New York |
Authorized Official Name and Position | Shoirakhon Bakieva (PRESIDENT) |
Authorized Official Contact | 3472495873 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Future Medical Pc 10205 Northern Blvd Corona NY 11368-5392 Ph: (347) 420-0242 | Future Medical Pc 10205 Northern Blvd Corona NY 11368-5392 Ph: (347) 420-0242 |
NPI Number | 1457017261 |
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Provider Enumeration Date | 11/16/2021 |
Last Update Date | 11/16/2021 |
Medicare PECOS PAC ID | 3678963352 |
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Medicare Enrollment ID | O20211213001066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457017261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Shoirakhon Bakieva |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649626029 PECOS PAC ID: 3678809688 Enrollment ID: I20210407002223 |
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