| Ideal Pediatric Care Pc | |
|
3751 75th St Jackson Heights NY 11372-6422 | |
| (718) 216-0889 | |
| (718) 424-8702 |
| Full Name | Ideal Pediatric Care Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3751 75th St, Jackson Heights, New York |
| Authorized Official Name and Position | Zulfiqar Khalique (PRESIDENT) |
| Authorized Official Contact | 6464699596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Pediatric Care Pc 11 Belmont Blvd Elmont NY 11003-1804 Ph: (646) 469-9596 | Ideal Pediatric Care Pc 3751 75th St Jackson Heights NY 11372-6422 Ph: (718) 216-0889 |
| NPI Number | 1053746651 |
|---|---|
| Provider Enumeration Date | 09/13/2013 |
| Last Update Date | 09/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053746651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 261413 (New York) | Primary |
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