Im Care Family Health Np Pc | |
3974 Amboy Rd Ste 302 Staten Island NY 10308-2414 | |
(718) 967-1071 | |
Not Available |
Full Name | Im Care Family Health Np Pc |
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Speciality | Clinic/Center |
Location | 3974 Amboy Rd Ste 302, Staten Island, New York |
Authorized Official Name and Position | Inga Melnikova (PRESIDENT) |
Authorized Official Contact | 7188648208 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Im Care Family Health Np Pc 3974 Amboy Rd Ste 302 Staten Island NY 10308-2414 Ph: (718) 967-1071 | Im Care Family Health Np Pc 3974 Amboy Rd Ste 302 Staten Island NY 10308-2414 Ph: (718) 967-1071 |
NPI Number | 1003501826 |
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Provider Enumeration Date | 04/07/2023 |
Last Update Date | 04/07/2023 |
Medicare PECOS PAC ID | 2668838582 |
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Medicare Enrollment ID | O20230519000602 |
Identifier | Type | State | Issuer |
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1003501826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Inga Melnikova |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326695875 PECOS PAC ID: 4981024866 Enrollment ID: I20201014002035 |
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