| Hudson Primary Care Medical Pc | |
|
3429 83rd St Jackson Heights NY 11372-3054 | |
| (718) 424-7800 | |
| (718) 424-0888 |
| Full Name | Hudson Primary Care Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3429 83rd St, Jackson Heights, New York |
| Authorized Official Name and Position | Nidhi Dugar (PRESIDENT) |
| Authorized Official Contact | 7184247800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Primary Care Medical Pc 3429 83rd St Jackson Heights NY 11372-3054 Ph: (718) 424-7800 | Hudson Primary Care Medical Pc 3429 83rd St Jackson Heights NY 11372-3054 Ph: (718) 424-7800 |
| NPI Number | 1174844369 |
|---|---|
| Provider Enumeration Date | 06/22/2010 |
| Last Update Date | 06/29/2021 |
| Medicare PECOS PAC ID | 8325236888 |
|---|---|
| Medicare Enrollment ID | O20101228000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174844369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 229966 (New York) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 229966 (New York) | Secondary |
| Provider Name | Ajay Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558353763 PECOS PAC ID: 2062498371 Enrollment ID: I20101228000335 |
| Provider Name | Nidhi Dugar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588656771 PECOS PAC ID: 6507804721 Enrollment ID: I20110705000236 |
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