Q-care Affordable Medical Care, Pllc | |
4150 78th St Suite 102/103 Elmhurst NY 11373-1950 | |
(718) 606-0187 | |
(718) 606-0958 |
Full Name | Q-care Affordable Medical Care, Pllc |
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Speciality | Family Medicine |
Location | 4150 78th St, Elmhurst, New York |
Authorized Official Name and Position | Kevin Alexander Charlotten (PRINCIPAL) |
Authorized Official Contact | 7186060187 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Q-care Affordable Medical Care, Pllc 4150 78th St Suite #102/103 Elmhurst NY 11373-1950 Ph: (718) 606-0187 | Q-care Affordable Medical Care, Pllc 4150 78th St Suite 102/103 Elmhurst NY 11373-1950 Ph: (718) 606-0187 |
NPI Number | 1447480439 |
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Provider Enumeration Date | 07/23/2009 |
Last Update Date | 04/25/2011 |
Medicare PECOS PAC ID | 8123173275 |
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Medicare Enrollment ID | O20090826000256 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447480439 | NPI | - | NPPES |
02230353 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 221293 (New York) | Primary |
Provider Name | Kevin A Charlotten |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538143433 PECOS PAC ID: 4880798842 Enrollment ID: I20070330000338 |
Provider Name | Ravin V Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245647510 PECOS PAC ID: 7113229691 Enrollment ID: I20171009001316 |
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