| Saboor Waizun Pc | |
|
486 Mcdonald Ave Brooklyn NY 11218-3812 | |
| (718) 247-7226 | |
| (718) 558-0290 |
| Full Name | Saboor Waizun Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 486 Mcdonald Ave, Brooklyn, New York |
| Authorized Official Name and Position | Tina Malek (MANAGER) |
| Authorized Official Contact | 6314134765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saboor Waizun Pc 8605 Santiago St Hollis NY 11423-1117 Ph: (646) 623-2745 | Saboor Waizun Pc 486 Mcdonald Ave Brooklyn NY 11218-3812 Ph: (718) 247-7226 |
| NPI Number | 1033380902 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 06/05/2024 |
| Medicare PECOS PAC ID | 9032295274 |
|---|---|
| Medicare Enrollment ID | O20080327000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033380902 | NPI | - | NPPES |
| 02880091 | Medicaid | NY | |
| 1891867859 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 239768 (New York) | Primary |
| Provider Name | Inamulhaque M Saboor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891867859 PECOS PAC ID: 0941304968 Enrollment ID: I20070402000226 |
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