Kings County Infectious Disease P.c | |
13621 Roosevelt Ave #1fl Flushing NY 11354-5655 | |
(347) 922-0503 | |
(929) 274-2868 |
Full Name | Kings County Infectious Disease P.c |
---|---|
Speciality | Internal Medicine |
Location | 13621 Roosevelt Ave #1fl, Flushing, New York |
Authorized Official Name and Position | Zeyar Thet (OWNER) |
Authorized Official Contact | 3479220503 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kings County Infectious Disease P.c 33 Dahlgren Pl Brooklyn NY 11228-3503 Ph: (347) 922-0503 | Kings County Infectious Disease P.c 13621 Roosevelt Ave #1fl Flushing NY 11354-5655 Ph: (347) 922-0503 |
NPI Number | 1639412877 |
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Provider Enumeration Date | 04/05/2013 |
Last Update Date | 04/24/2024 |
Medicare PECOS PAC ID | 6002056553 |
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Medicare Enrollment ID | O20130708000124 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639412877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Zeyar Thet |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1356429922 PECOS PAC ID: 8820016140 Enrollment ID: I20070404000489 |
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