Nika Medical, P.c. | |
55 Midland Ave Staten Island NY 10306-2427 | |
(718) 667-7778 | |
(718) 317-7014 |
Full Name | Nika Medical, P.c. |
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Speciality | Clinic/Center |
Location | 55 Midland Ave, Staten Island, New York |
Authorized Official Name and Position | Veronika Romashova (PRESIDENT) |
Authorized Official Contact | 19178365296 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nika Medical, P.c. 55 Midland Ave Staten Island NY 10306-2427 Ph: (718) 667-7778 | Nika Medical, P.c. 55 Midland Ave Staten Island NY 10306-2427 Ph: (718) 667-7778 |
NPI Number | 1972632420 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 04/16/2008 |
Medicare PECOS PAC ID | 6709983075 |
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Medicare Enrollment ID | O20070521000594 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972632420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 240566 (New York) | Primary |
Provider Name | Veronika Romashova |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720004443 PECOS PAC ID: 2567460389 Enrollment ID: I20061109000635 |
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