| Jean Joseph Lochard Md Pc | |
|
10211 Roosevelt Ave Corona NY 11368-2331 | |
| (718) 898-1378 | |
| (718) 898-1505 |
| Full Name | Jean Joseph Lochard Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10211 Roosevelt Ave, Corona, New York |
| Authorized Official Name and Position | Jean Joseph Lochard (MD) |
| Authorized Official Contact | 7188981378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Joseph Lochard Md Pc 10211 Roosevelt Ave Corona NY 11368-2331 Ph: () - | Jean Joseph Lochard Md Pc 10211 Roosevelt Ave Corona NY 11368-2331 Ph: (718) 898-1378 |
| NPI Number | 1679891816 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 05/12/2010 |
| Medicare PECOS PAC ID | 2961536792 |
|---|---|
| Medicare Enrollment ID | O20100816001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679891816 | NPI | - | NPPES |
| 00738770 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jean J Lochard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649285412 PECOS PAC ID: 4981783776 Enrollment ID: I20080505000800 |
| Provider Name | Yves L Basse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194902569 PECOS PAC ID: 4082747472 Enrollment ID: I20100805000713 |
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