Saul Maslavi Md Pc | |
4232 Francis Lewis Blvd 1st Floor Bayside NY 11361-2561 | |
(718) 717-0003 | |
(718) 225-6936 |
Full Name | Saul Maslavi Md Pc |
---|---|
Speciality | Family Medicine |
Location | 4232 Francis Lewis Blvd, Bayside, New York |
Authorized Official Name and Position | Saul F Maslavi (OWNER) |
Authorized Official Contact | 7187170003 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Saul Maslavi Md Pc 4232 Francis Lewis Blvd 1st Floor Bayside NY 11361-2561 Ph: (718) 717-0003 | Saul Maslavi Md Pc 4232 Francis Lewis Blvd 1st Floor Bayside NY 11361-2561 Ph: (718) 717-0003 |
NPI Number | 1275611527 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 12/06/2016 |
Medicare PECOS PAC ID | 2769387489 |
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Medicare Enrollment ID | O20031204000962 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275611527 | NPI | - | NPPES |
03226693 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 228782 (New York) | Primary |
Provider Name | Saul F Maslavi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134137383 PECOS PAC ID: 5890690515 Enrollment ID: I20040105000506 |
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