| Janice Prime Care Medical Pc | |
|
1530 Bedford Ave Fl 3 Brooklyn NY 11216-4117 | |
| (718) 400-6951 | |
| (347) 789-9300 |
| Full Name | Janice Prime Care Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1530 Bedford Ave Fl 3, Brooklyn, New York |
| Authorized Official Name and Position | Meenal Shukla (PRESIDENT JANICE PRIME CARE MEDICAL) |
| Authorized Official Contact | 5167087008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janice Prime Care Medical Pc 14 Kristi Drive Jericho NY 11753 Ph: (516) 708-7008 | Janice Prime Care Medical Pc 1530 Bedford Ave Fl 3 Brooklyn NY 11216-4117 Ph: (718) 400-6951 |
| NPI Number | 1275752750 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 02/16/2022 |
| Medicare PECOS PAC ID | 7517992795 |
|---|---|
| Medicare Enrollment ID | O20050927001360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275752750 | NPI | - | NPPES |
| 03313595 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Meenal Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508806076 PECOS PAC ID: 5991730160 Enrollment ID: I20050927001326 |
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