| Mark M Pinkhasov Do Pllc | |
|
11203 Queens Blvd Ste 204 Forest Hills NY 11375-5550 | |
| (718) 897-0516 | |
| (718) 897-0590 |
| Full Name | Mark M Pinkhasov Do Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11203 Queens Blvd Ste 204, Forest Hills, New York |
| Authorized Official Name and Position | Mark M Pinkhasov (OWNER) |
| Authorized Official Contact | 6464079792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark M Pinkhasov Do Pllc 11203 Queens Blvd Ste 204 Forest Hills NY 11375-5550 Ph: (718) 897-0516 | Mark M Pinkhasov Do Pllc 11203 Queens Blvd Ste 204 Forest Hills NY 11375-5550 Ph: (718) 897-0516 |
| NPI Number | 1205602786 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 6709236458 |
|---|---|
| Medicare Enrollment ID | O20231221002289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205602786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Mark M Pinkhasov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528233756 PECOS PAC ID: 0941564058 Enrollment ID: I20180425002152 |
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