| Wright Medical Pc | |
|
20118 Hillside Ave Hollis NY 11423-2135 | |
| (718) 454-2442 | |
| (718) 454-2416 |
| Full Name | Wright Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20118 Hillside Ave, Hollis, New York |
| Authorized Official Name and Position | Liana Wright (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7184542442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wright Medical Pc 20118 Hillside Ave Hollis NY 11423-2135 Ph: (718) 454-2442 | Wright Medical Pc 20118 Hillside Ave Hollis NY 11423-2135 Ph: (718) 454-2442 |
| NPI Number | 1144936949 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 5092185090 |
|---|---|
| Medicare Enrollment ID | O20230109002737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144936949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Liana Magdalena Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417344243 PECOS PAC ID: 7315291192 Enrollment ID: I20181114000907 |
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