| Jamaica Estates Family Medical Pc | |
|
8505 167th St Jamaica NY 11432-2621 | |
| (718) 658-7482 | |
| (718) 658-7531 |
| Full Name | Jamaica Estates Family Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8505 167th St, Jamaica, New York |
| Authorized Official Name and Position | Edgar Z Vanegas (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7186587482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamaica Estates Family Medical Pc 8505 167th St Jamaica NY 11432-2621 Ph: (718) 658-7482 | Jamaica Estates Family Medical Pc 8505 167th St Jamaica NY 11432-2621 Ph: (718) 658-7482 |
| NPI Number | 1194805929 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 01/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194805929 | NPI | - | NPPES |
| 02576630 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 190283-1 (New York) | Primary |
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