| Adults Medical Care, P.c. | |
|
89 04 Northern Blvd, Ground Floor Jackson Heights NY 11372 | |
| (347) 808-0700 | |
| (347) 808-0699 |
| Full Name | Adults Medical Care, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 89 04 Northern Blvd,, Jackson Heights, New York |
| Authorized Official Name and Position | Richard S Perrin (CEO) |
| Authorized Official Contact | 3478080700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adults Medical Care, P.c. 89 04 Northern Blvd, Ground Floor Jackson Heights NY 11372 Ph: (347) 808-0700 | Adults Medical Care, P.c. 89 04 Northern Blvd, Ground Floor Jackson Heights NY 11372 Ph: (347) 808-0700 |
| NPI Number | 1063028967 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 09/17/2020 |
| Medicare PECOS PAC ID | 5092192260 |
|---|---|
| Medicare Enrollment ID | O20220510001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063028967 | NPI | - | NPPES |
| 03124792 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Perrin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932360088 PECOS PAC ID: 7911072376 Enrollment ID: I20080819000651 |
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