| Woodmere Medical Pc | |
|
8600 Shore Front Pkwy Rockaway Beach NY 11693-1828 | |
| (718) 745-1901 | |
| (718) 745-5731 |
| Full Name | Woodmere Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8600 Shore Front Pkwy, Rockaway Beach, New York |
| Authorized Official Name and Position | Subodh Kumar Sinha (OWNER) |
| Authorized Official Contact | 7187451901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodmere Medical Pc Po Box 439 Woodmere NY 11598-0439 Ph: (718) 745-1901 | Woodmere Medical Pc 8600 Shore Front Pkwy Rockaway Beach NY 11693-1828 Ph: (718) 745-1901 |
| NPI Number | 1467721068 |
|---|---|
| Provider Enumeration Date | 12/28/2011 |
| Last Update Date | 12/28/2011 |
| Medicare PECOS PAC ID | 9830358910 |
|---|---|
| Medicare Enrollment ID | O20120308000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467721068 | NPI | - | NPPES |
| 01696208 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200548 (New York) | Primary |
| Provider Name | Subodh K Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548339138 PECOS PAC ID: 1850354598 Enrollment ID: I20041104000515 |
| Provider Name | Arun K Mangla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134143035 PECOS PAC ID: 7517966963 Enrollment ID: I20061212000333 |
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