John R Fernandez Md Pllc | |
5536 69th Pl Maspeth NY 11378-1856 | |
(718) 533-0029 | |
(718) 396-2491 |
Full Name | John R Fernandez Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 5536 69th Pl, Maspeth, New York |
Authorized Official Name and Position | Maria Orozco (MEDICAL BILLER) |
Authorized Official Contact | 9417668995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
John R Fernandez Md Pllc 5536 69th Pl Maspeth NY 11378-1856 Ph: (718) 533-0029 | John R Fernandez Md Pllc 5536 69th Pl Maspeth NY 11378-1856 Ph: (718) 533-0029 |
NPI Number | 1457681314 |
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Provider Enumeration Date | 12/28/2009 |
Last Update Date | 12/28/2009 |
Medicare PECOS PAC ID | 2062606908 |
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Medicare Enrollment ID | O20101104000396 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457681314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 227988 (New York) | Primary |
Provider Name | John R Fernandez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770518920 PECOS PAC ID: 5597655928 Enrollment ID: I20040623001296 |
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