| Jitendra N Tolia Md Pc | |
|
31 47 77th Street Jackson Heights NY 11370-1824 | |
| (718) 429-4444 | |
| (718) 639-5353 |
| Full Name | Jitendra N Tolia Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 31 47 77th Street, Jackson Heights, New York |
| Authorized Official Name and Position | Jitendra N Tolia (PRESIDENT OWNER) |
| Authorized Official Contact | 7184294444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jitendra N Tolia Md Pc 31 47 77th Street Jackson Heights NY 11370-1824 Ph: (718) 429-4444 | Jitendra N Tolia Md Pc 31 47 77th Street Jackson Heights NY 11370-1824 Ph: (718) 429-4444 |
| NPI Number | 1700956208 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3870633662 |
|---|---|
| Medicare Enrollment ID | O20091230000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700956208 | NPI | - | NPPES |
| 01182374 | Medicaid | NY |
| Provider Name | Jitendra N Tolia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407974199 PECOS PAC ID: 0547300329 Enrollment ID: I20091230000129 |
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