| Pervaiz Iqbal Physician Pc | |
|
10 E Harbor Court Roslyn NY 11576 | |
| (917) 497-8751 | |
| Not Available |
| Full Name | Pervaiz Iqbal Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 E Harbor Court, Roslyn, New York |
| Authorized Official Name and Position | Imran Hameed (MANAGER) |
| Authorized Official Contact | 7186045469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pervaiz Iqbal Physician Pc 10 E Harbor Court Roslyn NY 11576 Ph: (917) 497-8751 | Pervaiz Iqbal Physician Pc 10 E Harbor Court Roslyn NY 11576 Ph: (917) 497-8751 |
| NPI Number | 1477765469 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 11/02/2021 |
| Medicare PECOS PAC ID | 6204097264 |
|---|---|
| Medicare Enrollment ID | O20120418000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477765469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (New York) | Primary |
| Provider Name | Pervaiz Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083658918 PECOS PAC ID: 8426046335 Enrollment ID: I20040430001151 |
| Provider Name | Charmaine Jackqulin Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659697878 PECOS PAC ID: 5698998326 Enrollment ID: I20230508000043 |
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