Sure Medical Pc | |
9425 60th Ave Suite B4 Elmhurst NY 11373-5069 | |
(718) 362-8183 | |
(718) 362-1651 |
Full Name | Sure Medical Pc |
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Speciality | Internal Medicine |
Location | 9425 60th Ave, Elmhurst, New York |
Authorized Official Name and Position | Hertzel K Sure (PRESIDENT) |
Authorized Official Contact | 7183628183 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sure Medical Pc 9425 60th Ave Ste B-4 Elmhurst NY 11373-5069 Ph: (718) 280-9092 | Sure Medical Pc 9425 60th Ave Suite B4 Elmhurst NY 11373-5069 Ph: (718) 362-8183 |
NPI Number | 1033415294 |
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Provider Enumeration Date | 02/07/2011 |
Last Update Date | 02/07/2024 |
Medicare PECOS PAC ID | 7113813684 |
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Medicare Enrollment ID | O20110421000107 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033415294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 224296 (New York) | Primary |
Provider Name | Hertzel K Sure |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083727762 PECOS PAC ID: 9739173824 Enrollment ID: I20040412001363 |
Provider Name | Donald C Wallerson |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1407885387 PECOS PAC ID: 6204888464 Enrollment ID: I20050222000687 |
Provider Name | Neal Lisann |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528027067 PECOS PAC ID: 5799731063 Enrollment ID: I20050330000167 |
Provider Name | Ahmed Rabbat |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1558469262 PECOS PAC ID: 3375647167 Enrollment ID: I20070404000221 |
Provider Name | Alex P Bendanillo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861556318 PECOS PAC ID: 9032297577 Enrollment ID: I20080423000562 |
Provider Name | Anabelle Lu Justo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720302607 PECOS PAC ID: 6507036068 Enrollment ID: I20110819000370 |
Provider Name | Karen A Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285060145 PECOS PAC ID: 3577787647 Enrollment ID: I20140610002456 |
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