| Ida Messana Md Pllc | |
|
10933 71st Rd Suite 2 E Forest Hills NY 11375-4867 | |
| (718) 263-4345 | |
| (718) 793-5607 |
| Full Name | Ida Messana Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10933 71st Rd, Forest Hills, New York |
| Authorized Official Name and Position | Ida Messana (OWNER) |
| Authorized Official Contact | 7182634345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ida Messana Md Pllc 10933 71st Rd Suite 2 E Forest Hills NY 11375-4867 Ph: (718) 263-4345 | Ida Messana Md Pllc 10933 71st Rd Suite 2 E Forest Hills NY 11375-4867 Ph: (718) 263-4345 |
| NPI Number | 1497043962 |
|---|---|
| Provider Enumeration Date | 07/18/2011 |
| Last Update Date | 07/18/2011 |
| Medicare PECOS PAC ID | 8921277534 |
|---|---|
| Medicare Enrollment ID | O20110816000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497043962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ida Messana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033202692 PECOS PAC ID: 2365611977 Enrollment ID: I20110816000091 |
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