Pro-health Family Medicine Pllc | |
170 56 Cedarcroft Rd Jamaica NY 11432 | |
(347) 249-0768 | |
(509) 357-0622 |
Full Name | Pro-health Family Medicine Pllc |
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Speciality | Clinic/Center |
Location | 170 56 Cedarcroft Rd, Jamaica, New York |
Authorized Official Name and Position | Mohammad Shakhawat Hossain (OWNER) |
Authorized Official Contact | 5707306920 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pro-health Family Medicine Pllc 170 56 Cedarcroft Rd Jamaica NY 11432 Ph: (347) 868-5055 | Pro-health Family Medicine Pllc 170 56 Cedarcroft Rd Jamaica NY 11432 Ph: (347) 249-0768 |
NPI Number | 1205690864 |
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Provider Enumeration Date | 02/13/2024 |
Last Update Date | 10/09/2024 |
Medicare PECOS PAC ID | 5294261608 |
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Medicare Enrollment ID | O20241209003408 |
Identifier | Type | State | Issuer |
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1205690864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Mohammad Shakhawat Hossain |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669639670 PECOS PAC ID: 7618162504 Enrollment ID: I20241211003475 |
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