| Silver Star Urgent Care | |
|
228 Beach 20th St Far Rockaway NY 11691-3618 | |
| (917) 847-4980 | |
| (833) 424-4357 |
| Full Name | Silver Star Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 228 Beach 20th St, Far Rockaway, New York |
| Authorized Official Name and Position | Dinesh Verma (DELEGATED OFFICIAL) |
| Authorized Official Contact | 9178474980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Star Urgent Care 249 Old Country Rd Carle Place NY 11514-2024 Ph: (917) 847-4980 | Silver Star Urgent Care 228 Beach 20th St Far Rockaway NY 11691-3618 Ph: (917) 847-4980 |
| NPI Number | 1750712220 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 10/23/2024 |
| Medicare PECOS PAC ID | 5890918650 |
|---|---|
| Medicare Enrollment ID | O20140523000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750712220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Dinesh K Verma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215035126 PECOS PAC ID: 0547285843 Enrollment ID: I20051005001139 |
| Provider Name | Boris Abramov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679744213 PECOS PAC ID: 3870778392 Enrollment ID: I20110427000561 |
| Provider Name | Mansoor Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104081900 PECOS PAC ID: 8527204775 Enrollment ID: I20130415000253 |
| Provider Name | Blessy C Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881117653 PECOS PAC ID: 2961775960 Enrollment ID: I20170913000259 |
| Provider Name | Reena Antony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801371653 PECOS PAC ID: 3072856327 Enrollment ID: I20190530000601 |
| Provider Name | Elcy Santosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689153199 PECOS PAC ID: 9931432093 Enrollment ID: I20190605002191 |
| Provider Name | Yesenia Andre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831479864 PECOS PAC ID: 9133553399 Enrollment ID: I20191220000631 |
| Provider Name | Beena Mancheril |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326696121 PECOS PAC ID: 8426463654 Enrollment ID: I20210219001131 |
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