New York Individual Medical Care Pc | |
10201 66th Rd Forest Hills NY 11375-2029 | |
(516) 570-2436 | |
Not Available |
Full Name | New York Individual Medical Care Pc |
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Speciality | Internal Medicine |
Location | 10201 66th Rd, Forest Hills, New York |
Authorized Official Name and Position | Joseph Golyan (OWNER) |
Authorized Official Contact | 5167758605 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
New York Individual Medical Care Pc 24 Rogers Rd Kings Point NY 11024-2111 Ph: (516) 570-2436 | New York Individual Medical Care Pc 10201 66th Rd Forest Hills NY 11375-2029 Ph: (516) 570-2436 |
NPI Number | 1285198036 |
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Provider Enumeration Date | 01/25/2019 |
Last Update Date | 01/25/2019 |
Medicare PECOS PAC ID | 8921331455 |
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Medicare Enrollment ID | O20190614001147 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285198036 | NPI | - | NPPES |
01959044 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Joseph Golyan |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1801822820 PECOS PAC ID: 6709885726 Enrollment ID: I20061220000128 |
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