| Island Of Health Medical Pc | |
|
8002 165 St. Union Tnpk. Jamaica NY 11432 | |
| (718) 380-7000 | |
| (212) 571-5001 |
| Full Name | Island Of Health Medical Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8002 165 St. Union Tnpk., Jamaica, New York |
| Authorized Official Name and Position | Ilya Kleyn (MD) |
| Authorized Official Contact | 9175545735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Of Health Medical Pc 80-02 165 St. Union Tnpk. Jamaica NY 11432 Ph: (718) 380-7000 | Island Of Health Medical Pc 8002 165 St. Union Tnpk. Jamaica NY 11432 Ph: (718) 380-7000 |
| NPI Number | 1689763443 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689763443 | NPI | - | NPPES |
| 02091596 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 215006 (New York) | Primary |
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