Internal Medicine & Geriatrics Pllc | |
9412 59th Ave Unit E5 Elmhurst NY 11373-5151 | |
(718) 997-7117 | |
(718) 997-8118 |
Full Name | Internal Medicine & Geriatrics Pllc |
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Speciality | Internal Medicine |
Location | 9412 59th Ave Unit E5, Elmhurst, New York |
Authorized Official Name and Position | Stella Pinhas (PHYSICIAN) |
Authorized Official Contact | 7189977117 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine & Geriatrics Pllc 10830 66th Ave Forest Hills NY 11375-2242 Ph: (718) 997-7117 | Internal Medicine & Geriatrics Pllc 9412 59th Ave Unit E5 Elmhurst NY 11373-5151 Ph: (718) 997-7117 |
NPI Number | 1053581801 |
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Provider Enumeration Date | 03/07/2008 |
Last Update Date | 06/28/2023 |
Medicare PECOS PAC ID | 8022075241 |
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Medicare Enrollment ID | O20041220000183 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053581801 | NPI | - | NPPES |
DD4991 | Other | NY | RAILROAD MEDICARE |
02085798 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 215063 (New York) | Primary |
Provider Name | Stella Pinhas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255444105 PECOS PAC ID: 6608838412 Enrollment ID: I20041103000026 |
Provider Name | Olga Kalvar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831421346 PECOS PAC ID: 2567890148 Enrollment ID: I20200313000453 |
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