Nyc Medical Of Queens Pc | |
7916 37th Ave Jackson Heights NY 11372-6748 | |
(718) 406-9111 | |
(718) 406-9994 |
Full Name | Nyc Medical Of Queens Pc |
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Speciality | Internal Medicine |
Location | 7916 37th Ave, Jackson Heights, New York |
Authorized Official Name and Position | Jose Enrique Ortiz (PRESIDENT) |
Authorized Official Contact | 7184069111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nyc Medical Of Queens Pc 7916 37th Ave Jackson Heights NY 11372-6748 Ph: (718) 406-9111 | Nyc Medical Of Queens Pc 7916 37th Ave Jackson Heights NY 11372-6748 Ph: (718) 406-9111 |
NPI Number | 1144854811 |
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Provider Enumeration Date | 03/02/2020 |
Last Update Date | 03/02/2020 |
Medicare PECOS PAC ID | 9234527912 |
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Medicare Enrollment ID | O20211029000614 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144854811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jose Ortiz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013124544 PECOS PAC ID: 5395811731 Enrollment ID: I20080909000009 |
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