| Izna Medical Care Pc | |
|
8702 167th St Jamaica NY 11432-3636 | |
| (718) 200-0723 | |
| Not Available |
| Full Name | Izna Medical Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8702 167th St, Jamaica, New York |
| Authorized Official Name and Position | Ishtiaq Hossain (MD) |
| Authorized Official Contact | 6072507920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Izna Medical Care Pc 14 Melony Ave Plainview NY 11803-5615 Ph: (607) 250-7920 | Izna Medical Care Pc 8702 167th St Jamaica NY 11432-3636 Ph: (718) 200-0723 |
| NPI Number | 1508574302 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 11/10/2022 |
| Medicare PECOS PAC ID | 5991175507 |
|---|---|
| Medicare Enrollment ID | O20221222001973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508574302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ishtiaq Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104261379 PECOS PAC ID: 0345472999 Enrollment ID: I20160817000893 |
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