| Hks Medical Services Pc | |
|
9425 60th Ave Ste B4 Elmhurst NY 11373-5069 | |
| (718) 362-8182 | |
| (718) 414-1651 |
| Full Name | Hks Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9425 60th Ave Ste B4, Elmhurst, New York |
| Authorized Official Name and Position | Hertzel K Sure (OWNER) |
| Authorized Official Contact | 7183628184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hks Medical Services Pc 9425 60th Ave Suite B4 Elmhurst NY 11373-5069 Ph: (718) 760-0797 | Hks Medical Services Pc 9425 60th Ave Ste B4 Elmhurst NY 11373-5069 Ph: (718) 362-8182 |
| NPI Number | 1760043210 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 06/30/2020 |
| Medicare PECOS PAC ID | 3971838822 |
|---|---|
| Medicare Enrollment ID | O20190715001398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760043210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hertzel K Sure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083727762 PECOS PAC ID: 9739173824 Enrollment ID: I20040412001363 |
| Provider Name | Mary A Pizzingrillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215904271 PECOS PAC ID: 8921134925 Enrollment ID: I20100330000028 |
| Provider Name | Jodi L Witman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710286141 PECOS PAC ID: 3971762410 Enrollment ID: I20120302000156 |
| Provider Name | Amoy Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952788648 PECOS PAC ID: 5496062861 Enrollment ID: I20150917000282 |
| Provider Name | Amanda Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619342243 PECOS PAC ID: 8123321627 Enrollment ID: I20160115001386 |
| Provider Name | Theresa L Arida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649622093 PECOS PAC ID: 5193001899 Enrollment ID: I20170412001060 |
| Provider Name | Jean Hayward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578012571 PECOS PAC ID: 2769759539 Enrollment ID: I20170526000579 |
| Provider Name | Daryl Lindsay Trapper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205353067 PECOS PAC ID: 6800169103 Enrollment ID: I20170908000935 |
| Provider Name | Charlene Scotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164934394 PECOS PAC ID: 6709147473 Enrollment ID: I20180221002073 |
| Provider Name | Priscilla R Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437652047 PECOS PAC ID: 2860746377 Enrollment ID: I20181120002256 |
| Provider Name | Danielle Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467010769 PECOS PAC ID: 7810228061 Enrollment ID: I20191018002443 |
| Provider Name | Kerry Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316597297 PECOS PAC ID: 7012340433 Enrollment ID: I20191125002428 |
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