Pcr Physician Pllc | |
117 Greenway W New Hyde Park NY 11040-2226 | |
(909) 757-8314 | |
Not Available |
Full Name | Pcr Physician Pllc |
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Speciality | Internal Medicine |
Location | 117 Greenway W, New Hyde Park, New York |
Authorized Official Name and Position | Kareem Abed (OWNER) |
Authorized Official Contact | 6092221198 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pcr Physician Pllc 117 Greenway W New Hyde Park NY 11040-2226 Ph: (909) 757-8314 | Pcr Physician Pllc 117 Greenway W New Hyde Park NY 11040-2226 Ph: (909) 757-8314 |
NPI Number | 1184243040 |
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Provider Enumeration Date | 04/10/2020 |
Last Update Date | 04/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184243040 | NPI | - | NPPES |
04607627 | Medicaid | NY | |
0669423 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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