| Cross Island Medical Llc | |
|
25720 Hillside Ave Floral Park NY 11004-1653 | |
| (718) 831-6600 | |
| Not Available |
| Full Name | Cross Island Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25720 Hillside Ave, Floral Park, New York |
| Authorized Official Name and Position | Himanshu Pandya (PRESIDENT) |
| Authorized Official Contact | 9179033885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Island Medical Llc 427 Links Dr Roslyn NY 11576-3079 Ph: (917) 903-3885 | Cross Island Medical Llc 25720 Hillside Ave Floral Park NY 11004-1653 Ph: (718) 831-6600 |
| NPI Number | 1346992906 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 09/28/2022 |
| Medicare PECOS PAC ID | 5294104345 |
|---|---|
| Medicare Enrollment ID | O20221212001654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346992906 | NPI | - | NPPES |
| 00000 | Other | INTERNAL MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Himanshu Pandya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003896929 PECOS PAC ID: 3870558182 Enrollment ID: I20041129000664 |
| Provider Name | Amalia Per |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124353438 PECOS PAC ID: 6608180427 Enrollment ID: I20150806010649 |
| Provider Name | Sunil Dutt Parashar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518122886 PECOS PAC ID: 9133307507 Enrollment ID: I20240125004595 |
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