| Gondal Medical Care P.c. | |
|
731 Coney Island Ave Brooklyn NY 11218-4306 | |
| (718) 693-7777 | |
| (718) 693-7770 |
| Full Name | Gondal Medical Care P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 731 Coney Island Ave, Brooklyn, New York |
| Authorized Official Name and Position | Imtiaz Ahmad (OWNER) |
| Authorized Official Contact | 7186937777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gondal Medical Care P.c. 731 Coney Island Ave Brooklyn NY 11218-4306 Ph: (718) 693-7777 | Gondal Medical Care P.c. 731 Coney Island Ave Brooklyn NY 11218-4306 Ph: (718) 693-7777 |
| NPI Number | 1134356397 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 06/16/2009 |
| Medicare PECOS PAC ID | 1052459047 |
|---|---|
| Medicare Enrollment ID | O20091111000751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134356397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 239419 (New York) | Primary |
| Provider Name | Imtiaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265509988 PECOS PAC ID: 8022117522 Enrollment ID: I20070625000402 |
| Provider Name | Sara Safdar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649543653 PECOS PAC ID: 1951531730 Enrollment ID: I20150119000340 |
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