Harbin Medical Care Pllc | |
43-16 215 Street Bayside NY 11356 | |
(718) 224-0120 | |
(718) 224-0130 |
Full Name | Harbin Medical Care Pllc |
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Speciality | Internal Medicine |
Location | 43-16 215 Street, Bayside, New York |
Authorized Official Name and Position | Jingbo Zhao (PHYSICIAN/OWNER) |
Authorized Official Contact | 5166089977 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Harbin Medical Care Pllc 3275 Harbor Point Road Baldwin NY 11510 Ph: (516) 608-9977 | Harbin Medical Care Pllc 43-16 215 Street Bayside NY 11356 Ph: (718) 224-0120 |
NPI Number | 1649527177 |
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Provider Enumeration Date | 08/15/2012 |
Last Update Date | 08/15/2012 |
Medicare PECOS PAC ID | 0244489011 |
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Medicare Enrollment ID | O20121011000515 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649527177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 257808 (New York) | Primary |
Provider Name | Jingbo Zhao |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265749550 PECOS PAC ID: 2961680459 Enrollment ID: I20121011000518 |
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