| Health East Medical Pc | |
|
8371 116th St Ste M1 Richmond Hill NY 11418-3448 | |
| (347) 389-4945 | |
| Not Available |
| Full Name | Health East Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8371 116th St Ste M1, Richmond Hill, New York |
| Authorized Official Name and Position | Yana Shamaev Berk (CEO) |
| Authorized Official Contact | 3473894945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health East Medical Pc 8371 116th St Ste M1 Richmond Hill NY 11418-3448 Ph: (347) 389-4945 | Health East Medical Pc 8371 116th St Ste M1 Richmond Hill NY 11418-3448 Ph: (347) 389-4945 |
| NPI Number | 1912152968 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 06/17/2022 |
| Medicare PECOS PAC ID | 5890852347 |
|---|---|
| Medicare Enrollment ID | O20090327000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912152968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 192338 (New York) | Primary |
| Provider Name | Yana Shamaev Berk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972613768 PECOS PAC ID: 4688655236 Enrollment ID: I20040528000338 |
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