| Privilege Care Medical Center | |
|
40-18 76th Street Elmhurst NY 11373 | |
| (718) 799-6800 | |
| Not Available |
| Full Name | Privilege Care Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 40-18 76th Street, Elmhurst, New York |
| Authorized Official Name and Position | Anthony C. Bottone (PHYSICIAN) |
| Authorized Official Contact | 7187996800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Privilege Care Medical Center 40-18 76th Street Elmhurst NY 11373 Ph: (718) 799-6800 | Privilege Care Medical Center 40-18 76th Street Elmhurst NY 11373 Ph: (718) 799-6800 |
| NPI Number | 1215059555 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215059555 | NPI | - | NPPES |
| 02750181 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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