| Kings County Physician Services, P.c. | |
|
18606 Union Tpke Fresh Meadows NY 11366-1734 | |
| (516) 362-6835 | |
| (718) 790-4833 |
| Full Name | Kings County Physician Services, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 18606 Union Tpke, Fresh Meadows, New York |
| Authorized Official Name and Position | Daniel Levihaym (CHAIRMAN OF BOARD) |
| Authorized Official Contact | 5163626835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings County Physician Services, P.c. 18606 Union Tpke Fresh Meadows NY 11366-1734 Ph: (516) 362-6835 | Kings County Physician Services, P.c. 18606 Union Tpke Fresh Meadows NY 11366-1734 Ph: (516) 362-6835 |
| NPI Number | 1437808219 |
|---|---|
| Provider Enumeration Date | 03/21/2022 |
| Last Update Date | 10/20/2022 |
| Medicare PECOS PAC ID | 0446633218 |
|---|---|
| Medicare Enrollment ID | O20220812000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437808219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | George Moskowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164417945 PECOS PAC ID: 9830265370 Enrollment ID: I20080905000576 |
| Provider Name | Mark V Epelbaum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699236331 PECOS PAC ID: 3274863220 Enrollment ID: I20221110001344 |
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