| Queens Medical Care Pc | |
|
87-42 169th Street Jamaica NY 11432 | |
| (718) 206-2222 | |
| (718) 206-9090 |
| Full Name | Queens Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 87-42 169th Street, Jamaica, New York |
| Authorized Official Name and Position | Naheed Sultana (PHYSICIAN-OWNER) |
| Authorized Official Contact | 7182062222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Medical Care Pc 87-42 169th Street Jamaica NY 11432 Ph: (718) 206-2222 | Queens Medical Care Pc 87-42 169th Street Jamaica NY 11432 Ph: (718) 206-2222 |
| NPI Number | 1316094972 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 10/31/2012 |
| Medicare PECOS PAC ID | 6709777568 |
|---|---|
| Medicare Enrollment ID | O20041001001043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316094972 | NPI | - | NPPES |
| 02282084 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 211588 (New York) | Primary |
| Provider Name | Naheed Sultana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679580948 PECOS PAC ID: 9335118678 Enrollment ID: I20050719000145 |
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