| Healthy You Medical Pc | |
|
2004 Grand Ave North Baldwin NY 11510-2811 | |
| (917) 922-4205 | |
| Not Available |
| Full Name | Healthy You Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2004 Grand Ave, North Baldwin, New York |
| Authorized Official Name and Position | Jennifer Balfour (CEO) |
| Authorized Official Contact | 9179224205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy You Medical Pc 2004 Grand Ave North Baldwin NY 11510-2811 Ph: () - | Healthy You Medical Pc 2004 Grand Ave North Baldwin NY 11510-2811 Ph: (917) 922-4205 |
| NPI Number | 1780286450 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Medicare PECOS PAC ID | 9638583214 |
|---|---|
| Medicare Enrollment ID | O20210121001988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780286450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Balfour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427387448 PECOS PAC ID: 4183768484 Enrollment ID: I20100225000032 |
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