| Patricia W. Hermogenes, Md Pc | |
|
13701 83rd Ave 1b Jamaica NY 11435-1562 | |
| (718) 847-3501 | |
| (718) 847-4706 |
| Full Name | Patricia W. Hermogenes, Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 13701 83rd Ave, Jamaica, New York |
| Authorized Official Name and Position | Patricia Wong Hermogenes (PRESIDENT) |
| Authorized Official Contact | 7188473501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia W. Hermogenes, Md Pc 13701 83rd Ave 1b Jamaica NY 11435-1562 Ph: (718) 847-3501 | Patricia W. Hermogenes, Md Pc 13701 83rd Ave 1b Jamaica NY 11435-1562 Ph: (718) 847-3501 |
| NPI Number | 1730402074 |
|---|---|
| Provider Enumeration Date | 03/01/2010 |
| Last Update Date | 03/01/2010 |
| Medicare PECOS PAC ID | 0345374633 |
|---|---|
| Medicare Enrollment ID | O20100823000855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730402074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 188841 (New York) | Primary |
| Provider Name | Patricia W Hermogenes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023174596 PECOS PAC ID: 7911031208 Enrollment ID: I20100823000929 |
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