| Goal Family Medical Pc | |
|
5 Sunrise Plz Ste 103 Valley Stream NY 11580-6130 | |
| (516) 758-7339 | |
| Not Available |
| Full Name | Goal Family Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5 Sunrise Plz Ste 103, Valley Stream, New York |
| Authorized Official Name and Position | Ogadinma Mcgeachy (PRESIDENT) |
| Authorized Official Contact | 5167587339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goal Family Medical Pc 5 Sunrise Plz Ste 103 Valley Stream NY 11580-6130 Ph: () - | Goal Family Medical Pc 5 Sunrise Plz Ste 103 Valley Stream NY 11580-6130 Ph: (516) 758-7339 |
| NPI Number | 1164089579 |
|---|---|
| Provider Enumeration Date | 05/21/2019 |
| Last Update Date | 05/21/2019 |
| Medicare PECOS PAC ID | 2466785894 |
|---|---|
| Medicare Enrollment ID | O20190617002827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164089579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ogadinma O Mcgeachy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568771996 PECOS PAC ID: 4183854292 Enrollment ID: I20140311000027 |
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