| Nassim Medical Pc | |
|
1000 Northern Blvd Ste 375 Great Neck NY 11021-5312 | |
| (516) 773-3942 | |
| (516) 734-0172 |
| Full Name | Nassim Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Northern Blvd Ste 375, Great Neck, New York |
| Authorized Official Name and Position | Roland Nassim (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 5167733942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nassim Medical Pc 1000 Northern Blvd Ste 375 Great Neck NY 11021-5312 Ph: (516) 773-3942 | Nassim Medical Pc 1000 Northern Blvd Ste 375 Great Neck NY 11021-5312 Ph: (516) 773-3942 |
| NPI Number | 1790038628 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 10/16/2012 |
| Medicare PECOS PAC ID | 4082866785 |
|---|---|
| Medicare Enrollment ID | O20121203000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790038628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Roland Nassim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598852451 PECOS PAC ID: 7618039124 Enrollment ID: I20081217000453 |
| Provider Name | Ariel Nassim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780959866 PECOS PAC ID: 2668762097 Enrollment ID: I20160526000434 |
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