| James A Rand Md Llc | |
|
20012 44th Ave 3rd Floor Bayside NY 11361-2510 | |
| (718) 224-7454 | |
| (718) 225-8430 |
| Full Name | James A Rand Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20012 44th Ave, Bayside, New York |
| Authorized Official Name and Position | James A Rand (PHYSICIAN) |
| Authorized Official Contact | 7182247454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James A Rand Md Llc 20012 44th Ave 3rd Floor Bayside NY 11361-2510 Ph: (718) 224-7454 | James A Rand Md Llc 20012 44th Ave 3rd Floor Bayside NY 11361-2510 Ph: (718) 224-7454 |
| NPI Number | 1053520528 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 10/16/2013 |
| Medicare PECOS PAC ID | 7618036112 |
|---|---|
| Medicare Enrollment ID | O20081112000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053520528 | NPI | - | NPPES |
| 100008327 | Other | NY | MC RR |
| 01094788 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 135615 (New York) | Primary |
| Provider Name | James A Rand |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912988254 PECOS PAC ID: 7315006913 Enrollment ID: I20081112000176 |
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