| North Shore Medical Pllc | |
|
9308 Queens Blvd # 1b1c Rego Park NY 11374-1135 | |
| (718) 806-1434 | |
| (718) 806-1435 |
| Full Name | North Shore Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9308 Queens Blvd # 1b1c, Rego Park, New York |
| Authorized Official Name and Position | Marvin Base (DIRECTOR) |
| Authorized Official Contact | 7188061434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Medical Pllc 9308 Queens Blvd # 1b1c Rego Park NY 11374-1135 Ph: (718) 806-1434 | North Shore Medical Pllc 9308 Queens Blvd # 1b1c Rego Park NY 11374-1135 Ph: (718) 806-1434 |
| NPI Number | 1083966170 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 12/11/2024 |
| Medicare PECOS PAC ID | 9234384561 |
|---|---|
| Medicare Enrollment ID | O20130312000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083966170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 187770 (New York) | Primary |
| Provider Name | Marvin Base |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366401853 PECOS PAC ID: 2769586528 Enrollment ID: I20070404000052 |
| Provider Name | Md A Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982990495 PECOS PAC ID: 6103147236 Enrollment ID: I20150602000504 |
| Provider Name | Darya Blednova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023451010 PECOS PAC ID: 5092001941 Enrollment ID: I20160901001899 |
Athina Giovanis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85-02 67th Ave, Suite 1, Rego Park, NY 11374 Phone: 347-468-7340 | |
Lev Aminov, Internal Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9851 64th Ave, Ste 1g, Rego Park, NY 11374 Phone: 718-275-6968 Fax: 718-275-4506 | |
Siranush K Cholakian Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 06 Fitchett Street, Rego Park, NY 11374 Phone: 718-275-1375 | |
Pro-health Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6511 Booth St, Suite 1 A, Rego Park, NY 11374 Phone: 718-309-1628 | |
Martin Torrents, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8502 67th Ave, Rego Park, NY 11374 Phone: 347-331-6533 | |
Nys Medical Associate Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65-11 Booth Street, Suite 1c, Rego Park, NY 11374 Phone: 718-806-1434 Fax: 718-806-1435 |