| New Generation Primary Care Pc | |
|
214-08 Hillside Avenue Queens Village NY 11427 | |
| (516) 326-0506 | |
| Not Available |
| Full Name | New Generation Primary Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 214-08 Hillside Avenue, Queens Village, New York |
| Authorized Official Name and Position | Neela Patel (OWNER) |
| Authorized Official Contact | 5163260506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Generation Primary Care Pc 348 Lowell Ave Floral Park NY 11001-1640 Ph: () - | New Generation Primary Care Pc 214-08 Hillside Avenue Queens Village NY 11427 Ph: (516) 326-0506 |
| NPI Number | 1689917577 |
|---|---|
| Provider Enumeration Date | 03/29/2013 |
| Last Update Date | 04/01/2013 |
| Medicare PECOS PAC ID | 6002058187 |
|---|---|
| Medicare Enrollment ID | O20131216001769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689917577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Neela K Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013017193 PECOS PAC ID: 8820252174 Enrollment ID: I20120618000133 |
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