Salvador Perez Medical P.c. | |
100 05 Roosevelt Ave Salvador Perez Medical P.c. Corona NY 11368 | |
(646) 761-4774 | |
Not Available |
Full Name | Salvador Perez Medical P.c. |
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Speciality | Clinic/Center |
Location | 100 05 Roosevelt Ave, Corona, New York |
Authorized Official Name and Position | Salvador Onesimo Perez (PRESIDENT) |
Authorized Official Contact | 6467614774 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Salvador Perez Medical P.c. 100 05 Roosevelt Ave Salvador Perez Medical P.c. Corona NY 11368 Ph: (646) 761-4774 | Salvador Perez Medical P.c. 100 05 Roosevelt Ave Salvador Perez Medical P.c. Corona NY 11368 Ph: (646) 761-4774 |
NPI Number | 1326312802 |
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Provider Enumeration Date | 03/01/2012 |
Last Update Date | 03/01/2012 |
Medicare PECOS PAC ID | 9830348416 |
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Medicare Enrollment ID | O20120926000455 |
Identifier | Type | State | Issuer |
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1326312802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 241980 (New York) | Primary |
Provider Name | Salvador O Perez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104024314 PECOS PAC ID: 5890895775 Enrollment ID: I20070706000090 |
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