| Jay K. Mehlman, Md, Pc | |
|
123 Maple Ave Suite 202 Cedarhurst NY 11516-2240 | |
| (516) 295-2640 | |
| (718) 318-0440 |
| Full Name | Jay K. Mehlman, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 123 Maple Ave, Cedarhurst, New York |
| Authorized Official Name and Position | Jay Kenneth Mehlman (PRESIDENT) |
| Authorized Official Contact | 7183180800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay K. Mehlman, Md, Pc 949 Northfield Rd Woodmere NY 11598-1663 Ph: (718) 318-0800 | Jay K. Mehlman, Md, Pc 123 Maple Ave Suite 202 Cedarhurst NY 11516-2240 Ph: (516) 295-2640 |
| NPI Number | 1326204694 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 08/05/2008 |
| Medicare PECOS PAC ID | 9436223716 |
|---|---|
| Medicare Enrollment ID | O20080805000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326204694 | NPI | - | NPPES |
| 02115704 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 201048 (New York) | Primary |
| Provider Name | Jay K Mehlman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649251885 PECOS PAC ID: 9638253842 Enrollment ID: I20080227000230 |
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