| Hillside Medical Care Pllc | |
|
18236 Hillside Ave Jamaica NY 11432-4837 | |
| (718) 464-6477 | |
| (718) 776-7271 |
| Full Name | Hillside Medical Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18236 Hillside Ave, Jamaica, New York |
| Authorized Official Name and Position | Sabina Awwal (OWNER) |
| Authorized Official Contact | 7184646477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillside Medical Care Pllc 18236 Hillside Ave Jamaica NY 11432-4837 Ph: (718) 464-6477 | Hillside Medical Care Pllc 18236 Hillside Ave Jamaica NY 11432-4837 Ph: (718) 464-6477 |
| NPI Number | 1477723872 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 08/19/2020 |
| Medicare PECOS PAC ID | 0840376828 |
|---|---|
| Medicare Enrollment ID | O20080401000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477723872 | NPI | - | NPPES |
| 03215267 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 215995 (New York) | Primary |
| Provider Name | Sabina Awwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669578647 PECOS PAC ID: 2062403595 Enrollment ID: I20040521001113 |
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