North Shore Primary Care P.c. | |
12415 Jamaica Ave Richmond Hill NY 11418-2649 | |
(718) 480-6626 | |
(718) 480-6621 |
Full Name | North Shore Primary Care P.c. |
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Speciality | Family Medicine |
Location | 12415 Jamaica Ave, Richmond Hill, New York |
Authorized Official Name and Position | Muzaffar Zai (PRESIDENT) |
Authorized Official Contact | 6318072477 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Shore Primary Care P.c. 88 Cedar Rd East Northport NY 11731-4131 Ph: (631) 807-2477 | North Shore Primary Care P.c. 12415 Jamaica Ave Richmond Hill NY 11418-2649 Ph: (718) 480-6626 |
NPI Number | 1568713014 |
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Provider Enumeration Date | 09/24/2012 |
Last Update Date | 06/04/2021 |
Medicare PECOS PAC ID | 5193970549 |
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Medicare Enrollment ID | O20130309000028 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568713014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 261963 (New York) | Primary |
Provider Name | Muzaffar Zai |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235325648 PECOS PAC ID: 8224281472 Enrollment ID: I20130122000014 |
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