| New Shore Medical Health Pc | |
|
13421 Springfield Blvd Saint Albans NY 11413-1448 | |
| (717) 716-7107 | |
| Not Available |
| Full Name | New Shore Medical Health Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13421 Springfield Blvd, Saint Albans, New York |
| Authorized Official Name and Position | Michelle Morris (OWNER) |
| Authorized Official Contact | 7177167107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Shore Medical Health Pc 354 Hutchinson Ave Mount Vernon NY 10553-1810 Ph: (717) 716-7107 | New Shore Medical Health Pc 13421 Springfield Blvd Saint Albans NY 11413-1448 Ph: (717) 716-7107 |
| NPI Number | 1922848316 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 10/01/2024 |
| Medicare PECOS PAC ID | 3476091075 |
|---|---|
| Medicare Enrollment ID | O20240814001519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922848316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohamed Mostafa M Mahmoud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518396423 PECOS PAC ID: 3577780303 Enrollment ID: I20140819000269 |
| Provider Name | Michelle Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891189015 PECOS PAC ID: 7416293964 Enrollment ID: I20191007002146 |
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