| Health Care At Northeast Philadelphia Llc | |
|
3353 Cottman Avenue Philadelphia PA 19149-1603 | |
| (215) 332-4410 | |
| (215) 332-6255 |
| Full Name | Health Care At Northeast Philadelphia Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3353 Cottman Avenue, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Daniel Yanfeng Lin (CHAIRMAN) |
| Authorized Official Contact | 8143815881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Care At Northeast Philadelphia Llc 3353 Cottman Avenue Philadelphia PA 19149-1603 Ph: (205) 332-4410 | Health Care At Northeast Philadelphia Llc 3353 Cottman Avenue Philadelphia PA 19149-1603 Ph: (215) 332-4410 |
| NPI Number | 1770137218 |
|---|---|
| Provider Enumeration Date | 08/01/2019 |
| Last Update Date | 08/21/2023 |
| Medicare PECOS PAC ID | 6002146735 |
|---|---|
| Medicare Enrollment ID | O20190924000918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770137218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel Y Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073781621 PECOS PAC ID: 2860529187 Enrollment ID: I20100419000535 |
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