| Premier Internal Medicine Associates Pc | |
|
444 Huguenot Avenue Ste A Staten Island NY 10312-1119 | |
| (718) 948-3474 | |
| (718) 948-3446 |
| Full Name | Premier Internal Medicine Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 444 Huguenot Avenue, Staten Island, New York |
| Authorized Official Name and Position | Kanwardeep S Aiden (OWNER) |
| Authorized Official Contact | 7189483474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Internal Medicine Associates Pc 444 Huguenot Avenue Ste A Staten Island NY 10312-1119 Ph: (718) 948-3474 | Premier Internal Medicine Associates Pc 444 Huguenot Avenue Ste A Staten Island NY 10312-1119 Ph: (718) 948-3474 |
| NPI Number | 1700914959 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 10/30/2015 |
| Medicare PECOS PAC ID | 1254430374 |
|---|---|
| Medicare Enrollment ID | O20070629000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700914959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 207334 (New York) | Primary |
| Provider Name | Kanwardeep S Aiden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336109875 PECOS PAC ID: 3476564980 Enrollment ID: I20060518000000 |
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