| Primacare Family Medicine Pllc | |
|
84-25 Elmhurst Ave. Unit P2 Elmhurst NY 11373 | |
| (718) 898-2010 | |
| Not Available |
| Full Name | Primacare Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 84-25 Elmhurst Ave. Unit P2, Elmhurst, New York |
| Authorized Official Name and Position | Liwen Zhu (DIRECTOR) |
| Authorized Official Contact | 7188982010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primacare Family Medicine Pllc 23935 65th Ave Douglaston NY 11362-1918 Ph: () - | Primacare Family Medicine Pllc 84-25 Elmhurst Ave. Unit P2 Elmhurst NY 11373 Ph: (718) 898-2010 |
| NPI Number | 1013378793 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 03/09/2016 |
| Medicare PECOS PAC ID | 7719277607 |
|---|---|
| Medicare Enrollment ID | O20160606001284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013378793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 259779 (New York) | Primary |
| Provider Name | Liwen Zhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790913580 PECOS PAC ID: 5496982068 Enrollment ID: I20131206000408 |
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