Queens Professional Medical Care,p.c. | |
11110 Jamaica Ave Richmond Hill NY 11418-2322 | |
(516) 599-4475 | |
(516) 599-2185 |
Full Name | Queens Professional Medical Care,p.c. |
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Speciality | Internal Medicine |
Location | 11110 Jamaica Ave, Richmond Hill, New York |
Authorized Official Name and Position | Nancy Lynne Matthews (ADMINISTRATOR) |
Authorized Official Contact | 5165994475 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Queens Professional Medical Care,p.c. 58 Buckingham Pl Lynbrook NY 11563-1835 Ph: (516) 599-4475 | Queens Professional Medical Care,p.c. 11110 Jamaica Ave Richmond Hill NY 11418-2322 Ph: (516) 599-4475 |
NPI Number | 1326158536 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/17/2007 |
Medicare PECOS PAC ID | 5991693442 |
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Medicare Enrollment ID | O20040324001423 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326158536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 193204 (New York) | Primary |
Provider Name | Francesco Passarelli |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699885913 PECOS PAC ID: 6305734765 Enrollment ID: I20040309001315 |
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