| Jacquelyn English Do Pllc | |
|
801 E Park Ave Long Beach NY 11561-2709 | |
| (516) 690-9800 | |
| Not Available |
| Full Name | Jacquelyn English Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 801 E Park Ave, Long Beach, New York |
| Authorized Official Name and Position | Jacquelyn English (PHYSICIAN OWNER) |
| Authorized Official Contact | 5166909800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn English Do Pllc 801 E Park Ave Long Beach NY 11561-2709 Ph: () - | Jacquelyn English Do Pllc 801 E Park Ave Long Beach NY 11561-2709 Ph: (516) 690-9800 |
| NPI Number | 1508328667 |
|---|---|
| Provider Enumeration Date | 04/05/2019 |
| Last Update Date | 05/13/2019 |
| Medicare PECOS PAC ID | 9739422387 |
|---|---|
| Medicare Enrollment ID | O20190522001009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508328667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert B Lanter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528039294 PECOS PAC ID: 0749254373 Enrollment ID: I20041008001117 |
| Provider Name | Jacquelyn English |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508260571 PECOS PAC ID: 7517200165 Enrollment ID: I20190522001227 |
| Provider Name | Silvana Sclafani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376142224 PECOS PAC ID: 3870907140 Enrollment ID: I20210127002424 |
| Provider Name | Saniya Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669759684 PECOS PAC ID: 0042629453 Enrollment ID: I20210513002801 |
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