| Supreme Medical Care, Pllc. | |
|
18911 Jamaica Ave Hollis NY 11423-2513 | |
| (718) 479-1100 | |
| (718) 479-1103 |
| Full Name | Supreme Medical Care, Pllc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 18911 Jamaica Ave, Hollis, New York |
| Authorized Official Name and Position | Ahsan Nazir (PRESIDENT) |
| Authorized Official Contact | 5166339508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Medical Care, Pllc. 237 Cushing Ave Williston Park NY 11596-1050 Ph: (516) 633-9508 | Supreme Medical Care, Pllc. 18911 Jamaica Ave Hollis NY 11423-2513 Ph: (718) 479-1100 |
| NPI Number | 1477863900 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 06/10/2016 |
| Medicare PECOS PAC ID | 4284860826 |
|---|---|
| Medicare Enrollment ID | O20131204000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477863900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 207297 (New York) | Primary |
| Provider Name | Ahsan Nazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477543502 PECOS PAC ID: 0941229710 Enrollment ID: I20100626000206 |
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