| Stewart Bae Medical,pllc | |
|
3122 Union St Suite 1b Flushing NY 11354-2332 | |
| (718) 353-9338 | |
| (718) 353-9337 |
| Full Name | Stewart Bae Medical,pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3122 Union St, Flushing, New York |
| Authorized Official Name and Position | Stewart H Bae (CEO) |
| Authorized Official Contact | 7183539338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewart Bae Medical,pllc Po Box 541195 Flushing NY 11354-7195 Ph: (718) 353-9338 | Stewart Bae Medical,pllc 3122 Union St Suite 1b Flushing NY 11354-2332 Ph: (718) 353-9338 |
| NPI Number | 1972977619 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Medicare PECOS PAC ID | 0446551055 |
|---|---|
| Medicare Enrollment ID | O20151223000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972977619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 183407 (New York) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 183407 (New York) | Primary |
| Provider Name | Stewart Bae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205910999 PECOS PAC ID: 0446449573 Enrollment ID: I20110315000751 |
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