| Geriatric Care Of Florida Llc | |
|
6136 170th St Apt M4 Fresh Meadows NY 11365-1957 | |
| (718) 709-0940 | |
| Not Available |
| Full Name | Geriatric Care Of Florida Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6136 170th St Apt M4, Fresh Meadows, New York |
| Authorized Official Name and Position | Peyman E Younesi (OWNER) |
| Authorized Official Contact | 7187090940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Care Of Florida Llc 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 709-0940 | Geriatric Care Of Florida Llc 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 709-0940 |
| NPI Number | 1811699820 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 1658739800 |
|---|---|
| Medicare Enrollment ID | O20230620001915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811699820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Peyman Younesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20230620002088 |
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