| Shahkoohi Medicine Pc | |
|
8 Fairfield Rd Great Neck NY 11024-1436 | |
| (917) 940-3016 | |
| Not Available |
| Full Name | Shahkoohi Medicine Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8 Fairfield Rd, Great Neck, New York |
| Authorized Official Name and Position | Afshin Shahkoohi (PRESIDENT) |
| Authorized Official Contact | 9179403016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahkoohi Medicine Pc 8 Fairfield Rd Great Neck NY 11024-1436 Ph: () - | Shahkoohi Medicine Pc 8 Fairfield Rd Great Neck NY 11024-1436 Ph: (917) 940-3016 |
| NPI Number | 1962267666 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 04/12/2024 |
| Medicare PECOS PAC ID | 0941649784 |
|---|---|
| Medicare Enrollment ID | O20240412003103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962267666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Afshin Shahkoohi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326198631 PECOS PAC ID: 9638301625 Enrollment ID: I20240410000756 |
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