| Peak Medical Care P.c. | |
|
21522 91st Ave Queens Village NY 11428-1217 | |
| (718) 217-0969 | |
| (718) 217-8247 |
| Full Name | Peak Medical Care P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 21522 91st Ave, Queens Village, New York |
| Authorized Official Name and Position | Mario Lavelanet (PRESIDENT) |
| Authorized Official Contact | 7182170969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Medical Care P.c. 21522 91st Ave Queens Village NY 11428-1217 Ph: (718) 217-0969 | Peak Medical Care P.c. 21522 91st Ave Queens Village NY 11428-1217 Ph: (718) 217-0969 |
| NPI Number | 1194028597 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 12/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194028597 | NPI | - | NPPES |
| 01616568 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 190765 (New York) | Primary |
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