| Walford B Lindo Md Pc | |
|
3304 Glenwood Rd Brooklyn NY 11210-2724 | |
| (718) 859-0008 | |
| (718) 434-4470 |
| Full Name | Walford B Lindo Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3304 Glenwood Rd, Brooklyn, New York |
| Authorized Official Name and Position | Walford B Lindo (PRESIDENT) |
| Authorized Official Contact | 7188590008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walford B Lindo Md Pc 3304 Glenwood Rd Brooklyn NY 11210-2724 Ph: (718) 859-0008 | Walford B Lindo Md Pc 3304 Glenwood Rd Brooklyn NY 11210-2724 Ph: (718) 859-0008 |
| NPI Number | 1619253663 |
|---|---|
| Provider Enumeration Date | 10/21/2011 |
| Last Update Date | 03/20/2018 |
| Medicare PECOS PAC ID | 3476726308 |
|---|---|
| Medicare Enrollment ID | O20111109000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619253663 | NPI | - | NPPES |
| 1972677516 | Other | NY | NPI- INDIVIDUAL |
| 00637816 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 142321 (New York) | Primary |
| Provider Name | Walford B Lindo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972677516 PECOS PAC ID: 2567598329 Enrollment ID: I20100331000336 |
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