| Queens Family Medicine, Pllc | |
|
5834 Main St Flushing NY 11355-5336 | |
| (718) 358-0506 | |
| (718) 445-2169 |
| Full Name | Queens Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5834 Main St, Flushing, New York |
| Authorized Official Name and Position | Adam D. Zeitlin (PRESIDENT) |
| Authorized Official Contact | 7183580506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Family Medicine, Pllc 13666 72nd Ave Flushing NY 11367-2328 Ph: (718) 358-0506 | Queens Family Medicine, Pllc 5834 Main St Flushing NY 11355-5336 Ph: (718) 358-0506 |
| NPI Number | 1750565412 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/18/2007 |
| Medicare PECOS PAC ID | 6608285614 |
|---|---|
| Medicare Enrollment ID | O20210504000949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750565412 | NPI | - | NPPES |
| 5996366 | Other | NY | GHI |
| 227362 | Other | NY | HIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 227362 (New York) | Primary |
| Provider Name | Adam D Zeitlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386745578 PECOS PAC ID: 1951390673 Enrollment ID: I20040508000093 |
| Provider Name | Faige Welcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780161414 PECOS PAC ID: 7517362056 Enrollment ID: I20210823001058 |
| Provider Name | Talia Eis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427781921 PECOS PAC ID: 6103289186 Enrollment ID: I20230823002778 |
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