| Nephrology And Internal Medicine Specialist, P.c. | |
|
1 Cross Island Plz Suite Ll4 Rosedale NY 11422-1465 | |
| (718) 276-4750 | |
| Not Available |
| Full Name | Nephrology And Internal Medicine Specialist, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Cross Island Plz, Rosedale, New York |
| Authorized Official Name and Position | David Scott (CEO) |
| Authorized Official Contact | 7182764750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nephrology And Internal Medicine Specialist, P.c. 1 Cross Island Plz Suite Ll4 Rosedale NY 11422-1465 Ph: (718) 276-4750 | Nephrology And Internal Medicine Specialist, P.c. 1 Cross Island Plz Suite Ll4 Rosedale NY 11422-1465 Ph: (718) 276-4750 |
| NPI Number | 1841547379 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 10/15/2012 |
| Medicare PECOS PAC ID | 7214186741 |
|---|---|
| Medicare Enrollment ID | O20120927000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841547379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | David Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730281452 PECOS PAC ID: 0345149233 Enrollment ID: I20040108000982 |
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