| Springfield Primary Care, Pc | |
|
21814 Hillside Ave Queens Village NY 11427-1951 | |
| (718) 776-4444 | |
| (718) 776-8536 |
| Full Name | Springfield Primary Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21814 Hillside Ave, Queens Village, New York |
| Authorized Official Name and Position | Mahendra Ratilal Amin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7187764444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Primary Care, Pc 21814 Hillside Ave Queens Village NY 11427-1951 Ph: (718) 776-4444 | Springfield Primary Care, Pc 21814 Hillside Ave Queens Village NY 11427-1951 Ph: (718) 776-4444 |
| NPI Number | 1518307198 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 10/31/2019 |
| Medicare PECOS PAC ID | 0840424685 |
|---|---|
| Medicare Enrollment ID | O20131009001362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518307198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mahendra R Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235128711 PECOS PAC ID: 7214051457 Enrollment ID: I20100825000502 |
| Provider Name | Dhruv M Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043520398 PECOS PAC ID: 4183858939 Enrollment ID: I20131010000009 |
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