| Long Island Advanced Medical Care Pllc. | |
|
287 Northern Blvd Ste 108 Great Neck NY 11021-4717 | |
| (516) 359-5870 | |
| Not Available |
| Full Name | Long Island Advanced Medical Care Pllc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 287 Northern Blvd Ste 108, Great Neck, New York |
| Authorized Official Name and Position | Farzad Farzan-kashani (PRESIDENT) |
| Authorized Official Contact | 5163595870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Advanced Medical Care Pllc. Po Box 220146 Great Neck NY 11022-0146 Ph: (516) 359-5870 | Long Island Advanced Medical Care Pllc. 287 Northern Blvd Ste 108 Great Neck NY 11021-4717 Ph: (516) 359-5870 |
| NPI Number | 1871939249 |
|---|---|
| Provider Enumeration Date | 05/13/2013 |
| Last Update Date | 02/22/2021 |
| Medicare PECOS PAC ID | 2062646581 |
|---|---|
| Medicare Enrollment ID | O20131016000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871939249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 251844 (New York) | Primary |
| Provider Name | Farzad Farzan-kashani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447412481 PECOS PAC ID: 2769675388 Enrollment ID: I20101014001445 |
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