| Queens Bronx Medical P.c | |
|
4102 31st Ave Astoria NY 11103-3420 | |
| (718) 274-6100 | |
| (718) 665-1746 |
| Full Name | Queens Bronx Medical P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 4102 31st Ave, Astoria, New York |
| Authorized Official Name and Position | Vijay K Alla (PRESIDENT) |
| Authorized Official Contact | 7182746100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Bronx Medical P.c 4102 31st Ave Astoria NY 11103-3420 Ph: (718) 274-6100 | Queens Bronx Medical P.c 4102 31st Ave Astoria NY 11103-3420 Ph: (718) 274-6100 |
| NPI Number | 1790995991 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790995991 | NPI | - | NPPES |
| VA0184AK10 | Other | NY | EMPIRE BLUE CROSS |
| 01914447 | Medicaid | NY | |
| 06864G | Other | NY | GHI MEDICARE CHOICE |
| 1000003667 | Other | NY | AFFINITY HEALTH PLAN |
| 2511884 | Other | NY | GHI |
| 06864 | Other | NY | NY GHI MEDICARE |
| 211067C19 | Other | NY | HEALTHFIRST |
| AV1067 | Other | NY | ATLANTIS |
| 1P1158 | Other | NY | HEALTHNET |
| 00006049401 | Other | NY | FIDELIS |
| 171389 | Other | NY | ELDERPLAN |
| 211067 | Other | NY | HIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 211067 (New York) | Primary |
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