| Saba Medical Care Pc | |
|
287 Northern Blvd Ste 108 Great Neck NY 11021-4717 | |
| (516) 418-6942 | |
| (516) 407-5498 |
| Full Name | Saba Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 287 Northern Blvd Ste 108, Great Neck, New York |
| Authorized Official Name and Position | Alireza Shirvani (OWNER) |
| Authorized Official Contact | 5164186942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saba Medical Care Pc 33 Hofstra Dr Plainview NY 11803-1814 Ph: (516) 418-6942 | Saba Medical Care Pc 287 Northern Blvd Ste 108 Great Neck NY 11021-4717 Ph: (516) 418-6942 |
| NPI Number | 1841730272 |
|---|---|
| Provider Enumeration Date | 03/04/2017 |
| Last Update Date | 06/03/2024 |
| Medicare PECOS PAC ID | 0042595712 |
|---|---|
| Medicare Enrollment ID | O20170320001363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841730272 | NPI | - | NPPES |
| 1841730272 | Other | NY | NPI |
| 1073769154 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 270376 (New York) | Primary |
| Provider Name | Alireza Shirvani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073769154 PECOS PAC ID: 5395931588 Enrollment ID: I20131031001522 |
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