| Medical Health Provider Services Pllc | |
|
1703 47th St # 2b Brooklyn NY 11204-1228 | |
| (914) 359-4420 | |
| Not Available |
| Full Name | Medical Health Provider Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1703 47th St # 2b, Brooklyn, New York |
| Authorized Official Name and Position | Esther Chijioke (OWNER) |
| Authorized Official Contact | 9143594420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Health Provider Services Pllc 5014 16th Ave Ste 13 Brooklyn NY 11204-1404 Ph: (914) 359-4420 | Medical Health Provider Services Pllc 1703 47th St # 2b Brooklyn NY 11204-1228 Ph: (914) 359-4420 |
| NPI Number | 1447905948 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/14/2022 |
| Medicare PECOS PAC ID | 1355722075 |
|---|---|
| Medicare Enrollment ID | O20220713000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447905948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Julie A Pike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497124382 PECOS PAC ID: 0042520553 Enrollment ID: I20151113000492 |
| Provider Name | Esther Ugonma Chijioke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871927798 PECOS PAC ID: 2163797002 Enrollment ID: I20171003007263 |
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