| Stat Medical Care | |
|
9542 Roosevelt Ave Jackson Heights NY 11372-8012 | |
| (718) 334-6700 | |
| Not Available |
| Full Name | Stat Medical Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9542 Roosevelt Ave, Jackson Heights, New York |
| Authorized Official Name and Position | Emilio Villegas (DIRECTOR) |
| Authorized Official Contact | 7183346716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stat Medical Care 9320 Roosevelt Ave # A Jackson Heights NY 11372-7904 Ph: (718) 334-6716 | Stat Medical Care 9542 Roosevelt Ave Jackson Heights NY 11372-8012 Ph: (718) 334-6700 |
| NPI Number | 1316131147 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 09/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316131147 | NPI | - | NPPES |
| 01687163 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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