| Island Medical Care, Pllc | |
|
202-28 45th Ave Bayside NY 11361-2540 | |
| (631) 495-8038 | |
| Not Available |
| Full Name | Island Medical Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 202-28 45th Ave, Bayside, New York |
| Authorized Official Name and Position | Akbar A. Khan (CEO) |
| Authorized Official Contact | 6314958038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Medical Care, Pllc Po Box 936 Commack NY 11725 Ph: (631) 495-8038 | Island Medical Care, Pllc 202-28 45th Ave Bayside NY 11361-2540 Ph: (631) 495-8038 |
| NPI Number | 1437580461 |
|---|---|
| Provider Enumeration Date | 12/02/2013 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 3375775943 |
|---|---|
| Medicare Enrollment ID | O20140414000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437580461 | NPI | - | NPPES |
| 02577806 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 233372 (New York) | Primary |
| Provider Name | Akbar A Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881766756 PECOS PAC ID: 6800864174 Enrollment ID: I20040923000915 |
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