| Knickerbocker Medical Care P.c. | |
|
8820 169th St Jamaica NY 11432-4431 | |
| (718) 739-1199 | |
| (718) 739-1579 |
| Full Name | Knickerbocker Medical Care P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8820 169th St, Jamaica, New York |
| Authorized Official Name and Position | Syed Shahid Hassan (M.D.) |
| Authorized Official Contact | 7184561900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knickerbocker Medical Care P.c. 739 Knickerbocker Ave Brooklyn NY 11221-5336 Ph: (718) 456-1900 | Knickerbocker Medical Care P.c. 8820 169th St Jamaica NY 11432-4431 Ph: (718) 739-1199 |
| NPI Number | 1295990737 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 07/31/2008 |
| Medicare PECOS PAC ID | 5698848653 |
|---|---|
| Medicare Enrollment ID | O20080724000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295990737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 196128 (New York) | Primary |
| 208000000X | Pediatrics | 209514 (New York) | Secondary |
| Provider Name | Syed S Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750457032 PECOS PAC ID: 0143393041 Enrollment ID: I20080731000137 |
| Provider Name | Sana Hassan Waqar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457974172 PECOS PAC ID: 4284072604 Enrollment ID: I20240404002008 |
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