| Provision At New York Llc | |
|
6135 Junction Blvd Rego Park NY 11374-2771 | |
| (718) 760-7862 | |
| (718) 760-7861 |
| Full Name | Provision At New York Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 6135 Junction Blvd, Rego Park, New York |
| Authorized Official Name and Position | Emily Y Chu (CEO) |
| Authorized Official Contact | 7187807862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provision At New York Llc 7285 Yellowstone Blvd Forest Hills NY 11375-4133 Ph: (718) 760-7862 | Provision At New York Llc 6135 Junction Blvd Rego Park NY 11374-2771 Ph: (718) 760-7862 |
| NPI Number | 1467749630 |
|---|---|
| Provider Enumeration Date | 07/07/2011 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467749630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | TUV006676 (New York) | Primary |
| 261QP2300X | Clinic/center - Primary Care | TUV006676 (New York) | Secondary |
Athina Giovanis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85-02 67th Ave, Suite 1, Rego Park, NY 11374 Phone: 347-468-7340 | |
Lev Aminov, Internal Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9851 64th Ave, Ste 1g, Rego Park, NY 11374 Phone: 718-275-6968 Fax: 718-275-4506 | |
Siranush K Cholakian Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 06 Fitchett Street, Rego Park, NY 11374 Phone: 718-275-1375 | |
Pro-health Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6511 Booth St, Suite 1 A, Rego Park, NY 11374 Phone: 718-309-1628 | |
Martin Torrents, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8502 67th Ave, Rego Park, NY 11374 Phone: 347-331-6533 | |
Nys Medical Associate Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65-11 Booth Street, Suite 1c, Rego Park, NY 11374 Phone: 718-806-1434 Fax: 718-806-1435 | |
Steven S Weinstein Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9717 64th Rd, Rego Park, NY 11374 Phone: 718-575-9896 Fax: 718-575-1253 |