Tri City Medical Pc | |
8710 51st Ave Apt 1s Elmhurst NY 11373-3910 | |
(347) 508-4575 | |
Not Available |
Full Name | Tri City Medical Pc |
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Speciality | Internal Medicine |
Location | 8710 51st Ave Apt 1s, Elmhurst, New York |
Authorized Official Name and Position | Kevin Tin (ADMINISTRATOR) |
Authorized Official Contact | 9173368422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tri City Medical Pc 8710 51st Ave Apt 1s Elmhurst NY 11373-3910 Ph: (347) 508-4575 | Tri City Medical Pc 8710 51st Ave Apt 1s Elmhurst NY 11373-3910 Ph: (347) 508-4575 |
NPI Number | 1639824816 |
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Provider Enumeration Date | 02/16/2022 |
Last Update Date | 12/06/2022 |
Medicare PECOS PAC ID | 9638563158 |
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Medicare Enrollment ID | O20220228000918 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639824816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Kevin Tin |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1174812044 PECOS PAC ID: 9830415728 Enrollment ID: I20150312001295 |
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