| Medical Associates, P.c. | |
|
8708 Justice Ave Suite Cs Elmhurst NY 11373-4575 | |
| (718) 779-9599 | |
| (718) 779-9579 |
| Full Name | Medical Associates, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8708 Justice Ave, Elmhurst, New York |
| Authorized Official Name and Position | Marie E Dy-guillaume (PRESIDENT) |
| Authorized Official Contact | 7187799599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates, P.c. 8708 Justice Ave Suite Cs Elmhurst NY 11373-4575 Ph: (718) 779-9599 | Medical Associates, P.c. 8708 Justice Ave Suite Cs Elmhurst NY 11373-4575 Ph: (718) 779-9599 |
| NPI Number | 1659539781 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 11/04/2008 |
| Medicare PECOS PAC ID | 2264506179 |
|---|---|
| Medicare Enrollment ID | O20080811000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659539781 | NPI | - | NPPES |
| 03028379 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 210261 (New York) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 201321 (New York) | Primary |
| Provider Name | Carl Guillaume |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528098118 PECOS PAC ID: 2264421973 Enrollment ID: I20040508000059 |
| Provider Name | Marie Dy-guillaume |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538123922 PECOS PAC ID: 7810988540 Enrollment ID: I20040521000225 |
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