Kondor Primary Care Pllc | |
14210b Roosevelt Ave Ste P24 Flushing NY 11354-6000 | |
(718) 799-0199 | |
(718) 799-0739 |
Full Name | Kondor Primary Care Pllc |
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Speciality | Family Medicine |
Location | 14210b Roosevelt Ave Ste P24, Flushing, New York |
Authorized Official Name and Position | Daniel Zhang (PHYSICIAN) |
Authorized Official Contact | 9178266630 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kondor Primary Care Pllc 14210b Roosevelt Ave Ste P24 Flushing NY 11354-6000 Ph: (718) 799-0199 | Kondor Primary Care Pllc 14210b Roosevelt Ave Ste P24 Flushing NY 11354-6000 Ph: (718) 799-0199 |
NPI Number | 1912618380 |
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Provider Enumeration Date | 12/07/2022 |
Last Update Date | 12/07/2022 |
Medicare PECOS PAC ID | 3779948310 |
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Medicare Enrollment ID | O20230503002146 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912618380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel Zhang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407251283 PECOS PAC ID: 3870833064 Enrollment ID: I20190326001813 |
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