Lewis W. Marshall Jr. Md Pc | |
8931 161st St Jamaica NY 11432-6102 | |
(718) 291-6161 | |
(718) 526-6169 |
Full Name | Lewis W. Marshall Jr. Md Pc |
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Speciality | Internal Medicine |
Location | 8931 161st St, Jamaica, New York |
Authorized Official Name and Position | Lewis W Marshall (PRESIDENT) |
Authorized Official Contact | 7182916161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lewis W. Marshall Jr. Md Pc 8931 161st St Jamaica NY 11432-6102 Ph: (718) 291-6161 | Lewis W. Marshall Jr. Md Pc 8931 161st St Jamaica NY 11432-6102 Ph: (718) 291-6161 |
NPI Number | 1467744318 |
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Provider Enumeration Date | 05/11/2011 |
Last Update Date | 05/11/2011 |
Medicare PECOS PAC ID | 8426234279 |
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Medicare Enrollment ID | O20110512000526 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467744318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 162486 (New York) | Primary |
Provider Name | Lewis W Marshall |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841297223 PECOS PAC ID: 0042289050 Enrollment ID: I20040927001096 |
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