| Syed Afzal M.d. P.c. | |
|
1129 Coney Island Ave Brooklyn NY 11230-4711 | |
| (718) 434-5678 | |
| (718) 744-0482 |
| Full Name | Syed Afzal M.d. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1129 Coney Island Ave, Brooklyn, New York |
| Authorized Official Name and Position | Syed Afzal (PRESIDENT) |
| Authorized Official Contact | 7184345678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syed Afzal M.d. P.c. 39 Celano Ln West Islip NY 11795-5105 Ph: (718) 434-5678 | Syed Afzal M.d. P.c. 1129 Coney Island Ave Brooklyn NY 11230-4711 Ph: (718) 434-5678 |
| NPI Number | 1285829226 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 3375704984 |
|---|---|
| Medicare Enrollment ID | O20120409000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285829226 | NPI | - | NPPES |
| 01546767 | Medicaid | NY | |
| 1558318550 | Other | NY | NPI |
| 197001 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 197001 (New York) | Primary |
| Provider Name | Syed Ali Afzal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558318550 PECOS PAC ID: 5698822534 Enrollment ID: I20090413000243 |
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