Jcl Medical, P.c. | |
10119 Jamaica Ave Richmond Hill NY 11418-2008 | |
(718) 709-4721 | |
(718) 709-4733 |
Full Name | Jcl Medical, P.c. |
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Speciality | Clinic/Center |
Location | 10119 Jamaica Ave, Richmond Hill, New York |
Authorized Official Name and Position | Jeannette Elizabeth Cano-landivar (MEDICAL DIRECTOR) |
Authorized Official Contact | 7187094721 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jcl Medical, P.c. 10119 Jamaica Ave Richmond Hill NY 11418-2008 Ph: (718) 709-4721 | Jcl Medical, P.c. 10119 Jamaica Ave Richmond Hill NY 11418-2008 Ph: (718) 709-4721 |
NPI Number | 1407372428 |
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Provider Enumeration Date | 08/22/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 5799050977 |
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Medicare Enrollment ID | O20171014000389 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407372428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 281921-1 (New York) | Primary |
Provider Name | Jeannette E Cano Landivar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538447438 PECOS PAC ID: 5496037343 Enrollment ID: I20170127001849 |
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