| Park Place Medical P.c. | |
|
2912 210th Pl Bayside NY 11360-2433 | |
| (718) 773-2011 | |
| (718) 773-3728 |
| Full Name | Park Place Medical P.c. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2912 210th Pl, Bayside, New York |
| Authorized Official Name and Position | Mohammed Mansour (PRESIDENT) |
| Authorized Official Contact | 7187732011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Medical P.c. 910 Park Pl Suite 1-b Brooklyn NY 11216-4000 Ph: (718) 773-2011 | Park Place Medical P.c. 2912 210th Pl Bayside NY 11360-2433 Ph: (718) 773-2011 |
| NPI Number | 1932389731 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 11/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932389731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 191343 (New York) | Primary |
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