| Vantage Care Associates Pc | |
|
102-01 66th Road Forest Hills NY 11375-2029 | |
| (718) 806-1434 | |
| (718) 806-1435 |
| Full Name | Vantage Care Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 102-01 66th Road, Forest Hills, New York |
| Authorized Official Name and Position | Sangam B Jhaveri (PRESIDENT) |
| Authorized Official Contact | 7188061434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Care Associates Pc 65-11 Booth Street Suite 1c Rego Park NY 11374-4184 Ph: (718) 806-1434 | Vantage Care Associates Pc 102-01 66th Road Forest Hills NY 11375-2029 Ph: (718) 806-1434 |
| NPI Number | 1861761751 |
|---|---|
| Provider Enumeration Date | 12/21/2011 |
| Last Update Date | 06/01/2020 |
| Medicare PECOS PAC ID | 7416119615 |
|---|---|
| Medicare Enrollment ID | O20120504000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861761751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 197164 (New York) | Primary |
| Provider Name | Sangam Jhaveri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023059284 PECOS PAC ID: 9234193632 Enrollment ID: I20041116000439 |
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