| Kumar Physician Office Pc | |
|
25012 Hillside Ave Ste B Bellerose NY 11426-2139 | |
| (718) 470-0126 | |
| (718) 470-0128 |
| Full Name | Kumar Physician Office Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 25012 Hillside Ave Ste B, Bellerose, New York |
| Authorized Official Name and Position | Manish Kumar (PRESIDENT) |
| Authorized Official Contact | 7184700126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kumar Physician Office Pc 13 Wilton St New Hyde Park NY 11040-3829 Ph: (718) 470-0126 | Kumar Physician Office Pc 25012 Hillside Ave Ste B Bellerose NY 11426-2139 Ph: (718) 470-0126 |
| NPI Number | 1447628342 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 12/16/2015 |
| Medicare PECOS PAC ID | 6002117710 |
|---|---|
| Medicare Enrollment ID | O20151223000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447628342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 265895 (New York) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 265895 (New York) | Secondary |
| Provider Name | Manish Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538414982 PECOS PAC ID: 8628211158 Enrollment ID: I20130830000231 |
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