| Pancare Medical Pc | |
|
15915 Hillside Ave Jamaica NY 11432-3935 | |
| (718) 473-2005 | |
| (718) 523-2311 |
| Full Name | Pancare Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 15915 Hillside Ave, Jamaica, New York |
| Authorized Official Name and Position | Silas E Nwaishienyi (DIRECTOR) |
| Authorized Official Contact | 5166108704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pancare Medical Pc 15915 Hillside Ave Jamaica NY 11432-3935 Ph: (718) 473-2005 | Pancare Medical Pc 15915 Hillside Ave Jamaica NY 11432-3935 Ph: (718) 473-2005 |
| NPI Number | 1457548745 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 02/10/2014 |
| Medicare PECOS PAC ID | 5193800951 |
|---|---|
| Medicare Enrollment ID | O20080304000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457548745 | NPI | - | NPPES |
| 243375 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 243375 (New York) | Primary |
| Provider Name | Silas Nwaishienyi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336269802 PECOS PAC ID: 9032219779 Enrollment ID: I20070711000323 |
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