Refoua Medical P.c. | |
935 Northern Blvd Ste 105 Great Neck NY 11021-5309 | |
(516) 487-0070 | |
(516) 487-0072 |
Full Name | Refoua Medical P.c. |
---|---|
Speciality | Internal Medicine |
Location | 935 Northern Blvd Ste 105, Great Neck, New York |
Authorized Official Name and Position | Daniel D Refoua (DO) |
Authorized Official Contact | 5169743962 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Refoua Medical P.c. 12 Willow Pl Great Neck NY 11021-1906 Ph: (914) 509-5836 | Refoua Medical P.c. 935 Northern Blvd Ste 105 Great Neck NY 11021-5309 Ph: (516) 487-0070 |
NPI Number | 1780155796 |
---|---|
Provider Enumeration Date | 12/17/2018 |
Last Update Date | 12/17/2018 |
Medicare PECOS PAC ID | 6406193317 |
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Medicare Enrollment ID | O20190131001007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780155796 | NPI | - | NPPES |
05231136 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel D Refoua |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598146383 PECOS PAC ID: 5092088955 Enrollment ID: I20170829002523 |
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