| Kew Gardens Family Physicians, Llp | |
|
11940 Metropolitan Ave Suite E1 Kew Gardens NY 11415-2600 | |
| (718) 849-0624 | |
| (718) 849-4935 |
| Full Name | Kew Gardens Family Physicians, Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 11940 Metropolitan Ave, Kew Gardens, New York |
| Authorized Official Name and Position | Kim Parolisi (MEDICAL BILLER) |
| Authorized Official Contact | 7188490624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kew Gardens Family Physicians, Llp 11940 Metropolitan Ave Suite E1 Kew Gardens NY 11415-2600 Ph: (718) 849-0624 | Kew Gardens Family Physicians, Llp 11940 Metropolitan Ave Suite E1 Kew Gardens NY 11415-2600 Ph: (718) 849-0624 |
| NPI Number | 1093759326 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 01/14/2008 |
| Medicare PECOS PAC ID | 5991701997 |
|---|---|
| Medicare Enrollment ID | O20061016000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093759326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 172844, 171010 (New York) | Primary |
| Provider Name | Alan Roth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801904313 PECOS PAC ID: 5698729267 Enrollment ID: I20050307000307 |
| Provider Name | Dina Parolisi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467488544 PECOS PAC ID: 0648276535 Enrollment ID: I20061017000415 |
| Provider Name | Tatiana M Villalobos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225482813 PECOS PAC ID: 4880939115 Enrollment ID: I20201118000660 |
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