Lexpark Medical Care Pllc | |
120 E 79th St Ofc 1a New York NY 10075-0319 | |
(212) 861-0400 | |
Not Available |
Full Name | Lexpark Medical Care Pllc |
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Speciality | Internal Medicine |
Location | 120 E 79th St Ofc 1a, New York, New York |
Authorized Official Name and Position | Jay Kripalani (OWNER/PHYSICIAN) |
Authorized Official Contact | 2128610400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lexpark Medical Care Pllc 209 Glen Cove Rd Ste 101 Carle Place NY 11514-1226 Ph: () - | Lexpark Medical Care Pllc 120 E 79th St Ofc 1a New York NY 10075-0319 Ph: (212) 861-0400 |
NPI Number | 1659024081 |
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Provider Enumeration Date | 01/26/2022 |
Last Update Date | 08/06/2022 |
Medicare PECOS PAC ID | 0143604975 |
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Medicare Enrollment ID | O20220829001753 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659024081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jay R Kripalani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902965353 PECOS PAC ID: 0941269435 Enrollment ID: I20041008001271 |
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