| Marina Podval Medical Pc | |
|
4332 Kissena Blvd Apt La Flushing NY 11355-2944 | |
| (718) 454-4356 | |
| Not Available |
| Full Name | Marina Podval Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4332 Kissena Blvd Apt La, Flushing, New York |
| Authorized Official Name and Position | Marina Podval (MD) |
| Authorized Official Contact | 7182329191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Podval Medical Pc 4332 Kissena Blvd Apt La Flushing NY 11355-2944 Ph: (718) 939-4509 | Marina Podval Medical Pc 4332 Kissena Blvd Apt La Flushing NY 11355-2944 Ph: (718) 454-4356 |
| NPI Number | 1245554609 |
|---|---|
| Provider Enumeration Date | 03/15/2010 |
| Last Update Date | 04/09/2012 |
| Medicare PECOS PAC ID | 0749312452 |
|---|---|
| Medicare Enrollment ID | O20100715000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245554609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marina Podval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982717237 PECOS PAC ID: 1254463029 Enrollment ID: I20100714000030 |
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