| Dr Tariq Waseem, MD | |
|
3636 33rd St Ste 306, Long Island City, NY 11106-2329 | |
| (844) 403-4325 | |
| (424) 625-0010 |
| Full Name | Dr Tariq Waseem |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 3636 33rd St Ste 306, Long Island City, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366517930 | NPI | - | NPPES |
| 00235447 | Medicaid | NY | |
| 126149 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 126149 (New York) | Primary |
| Entity Name | Visavis Health Care Medical Group Of Ny, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194350066 PECOS PAC ID: 3870923519 Enrollment ID: O20200423001785 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tariq Waseem, MD 3636 33rd St Ste 306, Long Island City, NY 11106-2329 Ph: (844) 403-4325 | Dr Tariq Waseem, MD 3636 33rd St Ste 306, Long Island City, NY 11106-2329 Ph: (844) 403-4325 |
Dr. Biase Lombardi, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 4604 31st Ave, Long Island City, NY 11103 Phone: 718-545-2100 Fax: 718-545-1900 | |
Dr. Melchias Njingulula Mukendi, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3511 Queens Blvd, Suites 01 & 02, Long Island City, NY 11101 Phone: 718-433-1015 Fax: 718-433-1019 | |
Gokul Paidi, General Practice Medicare: Not Enrolled in Medicare Practice Location: 3611 21st St Ste 1, Long Island City, NY 11106 Phone: 312-459-8690 |