| Universal Family Health Np Services, Pc | |
|
11882 Metropolitan Ave Kew Gardens NY 11415-2001 | |
| (516) 300-0304 | |
| Not Available |
| Full Name | Universal Family Health Np Services, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 11882 Metropolitan Ave, Kew Gardens, New York |
| Authorized Official Name and Position | Emiliya Mullayeva (OWNER) |
| Authorized Official Contact | 9173657967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Family Health Np Services, Pc 126 Erika Loop Staten Island NY 10312-6659 Ph: (917) 365-7967 | Universal Family Health Np Services, Pc 11882 Metropolitan Ave Kew Gardens NY 11415-2001 Ph: (516) 300-0304 |
| NPI Number | 1134789605 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 06/17/2019 |
| Medicare PECOS PAC ID | 1153650478 |
|---|---|
| Medicare Enrollment ID | O20190912000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134789605 | NPI | - | NPPES |
| 05114838 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Emiliya Mullayeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235445099 PECOS PAC ID: 3274845409 Enrollment ID: I20190917001433 |
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