| Su Salud Medical Pc | |
|
1855 Mott Ave Far Rockaway NY 11691-4201 | |
| (718) 200-0723 | |
| (718) 471-2865 |
| Full Name | Su Salud Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1855 Mott Ave, Far Rockaway, New York |
| Authorized Official Name and Position | Ferdous Khandker (MD) |
| Authorized Official Contact | 7188443360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Su Salud Medical Pc 1855 Mott Ave Far Rockaway NY 11691-4201 Ph: (718) 868-8282 | Su Salud Medical Pc 1855 Mott Ave Far Rockaway NY 11691-4201 Ph: (718) 200-0723 |
| NPI Number | 1043844905 |
|---|---|
| Provider Enumeration Date | 02/28/2020 |
| Last Update Date | 04/23/2024 |
| Medicare PECOS PAC ID | 2365873775 |
|---|---|
| Medicare Enrollment ID | O20200518002943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043844905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ferdous Khandker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205896800 PECOS PAC ID: 1355386202 Enrollment ID: I20050622000463 |
| Provider Name | Arif R Masih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417468885 PECOS PAC ID: 0547697658 Enrollment ID: I20200303000848 |
| Provider Name | Lokendra Mati Rai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215546924 PECOS PAC ID: 8224458609 Enrollment ID: I20201023002231 |
| Provider Name | Nicole Annmarie Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588191217 PECOS PAC ID: 9739590456 Enrollment ID: I20201201000921 |
| Provider Name | Anita N Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518425420 PECOS PAC ID: 2860804051 Enrollment ID: I20201211001396 |
| Provider Name | Amanda Satheeskumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588260582 PECOS PAC ID: 5698188050 Enrollment ID: I20210105000468 |
St John's Medical Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-869-7641 Fax: 718-869-8507 | |
Cedarhurst Medical Associates P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 Beach 20th Street, Far Rockaway, NY 11691 Phone: 718-471-7010 Fax: 718-337-1548 | |
Good Will Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 15 Beach Channel Drive, Peninsula Hospital, Far Rockaway, NY 11691 Phone: 718-734-2345 Fax: 718-734-2808 | |
M&l Medical Services. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2004 Seagirt Blvd, Far Rockaway, NY 11691 Phone: 718-868-8620 Fax: 718-868-8611 | |
Samuel Bavli, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Beach 19th St, Department Of Medicine, Far Rockaway, NY 11691 Phone: 718-869-7315 | |
Fegs Far Rockaway Mntl Hlth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Central Ave, Far Rockaway, NY 11691 Phone: 718-327-1600 Fax: 718-868-4792 |