| Highland Valley Medical Care Pllc | |
|
369 Middle Country Rd Ste 1 Coram NY 11727-3734 | |
| (631) 413-4765 | |
| Not Available |
| Full Name | Highland Valley Medical Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 369 Middle Country Rd Ste 1, Coram, New York |
| Authorized Official Name and Position | Tina Malek (CREDENTIALING CONTACT) |
| Authorized Official Contact | 6314134765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Valley Medical Care Pllc 1797 Veterans Memorial Hwy Ste 1 Islandia NY 11749-1537 Ph: (631) 413-4765 | Highland Valley Medical Care Pllc 369 Middle Country Rd Ste 1 Coram NY 11727-3734 Ph: (631) 413-4765 |
| NPI Number | 1831971449 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 06/05/2024 |
| Medicare PECOS PAC ID | 5890237358 |
|---|---|
| Medicare Enrollment ID | O20240612000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831971449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Inamulhaque M Saboor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891867859 PECOS PAC ID: 0941304968 Enrollment ID: I20070402000226 |
| Provider Name | Asad Butt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679033930 PECOS PAC ID: 1951639467 Enrollment ID: I20231026003902 |
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