On Call Medical Care Pc | |
372 School St West Hempstead NY 11552-2439 | |
(516) 615-8586 | |
Not Available |
Full Name | On Call Medical Care Pc |
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Speciality | Family Medicine |
Location | 372 School St, West Hempstead, New York |
Authorized Official Name and Position | Simon Fensterszaub (OWNER) |
Authorized Official Contact | 6463580688 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
On Call Medical Care Pc 302 Spruce St West Hempstead NY 11552-2408 Ph: (201) 321-0349 | On Call Medical Care Pc 372 School St West Hempstead NY 11552-2439 Ph: (516) 615-8586 |
NPI Number | 1417599473 |
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Provider Enumeration Date | 10/11/2019 |
Last Update Date | 10/11/2019 |
Medicare PECOS PAC ID | 4789019928 |
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Medicare Enrollment ID | O20200116002519 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417599473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Simon Fensterszaub |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003077322 PECOS PAC ID: 5890970230 Enrollment ID: I20110428000025 |
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