| Good Will Medical Pc | |
|
51 15 Beach Channel Drive Peninsula Hospital Far Rockaway NY 11691-1074 | |
| (718) 734-2345 | |
| (718) 734-2808 |
| Full Name | Good Will Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 51 15 Beach Channel Drive, Far Rockaway, New York |
| Authorized Official Name and Position | Salli Laufer (ATTENDING HOSPITALIST) |
| Authorized Official Contact | 7187342345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Will Medical Pc 158 West 27th Street 11 Floor South New York NY 10001-6216 Ph: (212) 524-7724 | Good Will Medical Pc 51 15 Beach Channel Drive Peninsula Hospital Far Rockaway NY 11691-1074 Ph: (718) 734-2345 |
| NPI Number | 1124103585 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124103585 | NPI | - | NPPES |
| 01809549 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 207114 (New York) | Primary |
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