Shazia Sami Medicine Pc | |
11216 Jamaica Ave Richmond Hill NY 11418-2451 | |
(718) 849-3338 | |
(718) 849-3166 |
Full Name | Shazia Sami Medicine Pc |
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Speciality | Clinic/Center |
Location | 11216 Jamaica Ave, Richmond Hill, New York |
Authorized Official Name and Position | Shazia Andleeb Sami (DIRECTOR) |
Authorized Official Contact | 6318053283 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shazia Sami Medicine Pc 112-16 Jamaica Ave Richmond Hill NY 11418 Ph: (718) 849-3338 | Shazia Sami Medicine Pc 11216 Jamaica Ave Richmond Hill NY 11418-2451 Ph: (718) 849-3338 |
NPI Number | 1629203443 |
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Provider Enumeration Date | 05/22/2009 |
Last Update Date | 05/22/2009 |
Medicare PECOS PAC ID | 4183779440 |
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Medicare Enrollment ID | O20090910000175 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629203443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 240847 (New York) | Primary |
Provider Name | Shazia A Sami |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902992951 PECOS PAC ID: 5799882650 Enrollment ID: I20070530000079 |
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