| Jamaica Medical Care Pc | |
|
17206 Jamaica Ave Jamaica NY 11432-5522 | |
| (718) 526-4211 | |
| (718) 526-4166 |
| Full Name | Jamaica Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17206 Jamaica Ave, Jamaica, New York |
| Authorized Official Name and Position | Tristan Da Cunha (PRESIDENT) |
| Authorized Official Contact | 7185264211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamaica Medical Care Pc 17206 Jamaica Ave Jamaica NY 11432-5522 Ph: (718) 526-4211 | Jamaica Medical Care Pc 17206 Jamaica Ave Jamaica NY 11432-5522 Ph: (718) 526-4211 |
| NPI Number | 1205944261 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 03/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205944261 | NPI | - | NPPES |
| 01995248 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 213299 (New York) | Primary |
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