| Ahmed Elkoulily Mdpc | |
|
232 Merrick Rd Lynbrook NY 11563-2623 | |
| (516) 594-5961 | |
| Not Available |
| Full Name | Ahmed Elkoulily Mdpc |
|---|---|
| Speciality | General Practice |
| Location | 232 Merrick Rd, Lynbrook, New York |
| Authorized Official Name and Position | Ahmed Elkoulily (PRESIDENT) |
| Authorized Official Contact | 5162567706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmed Elkoulily Mdpc 232 Merrick Rd Lynbrook NY 11563-2623 Ph: () - | Ahmed Elkoulily Mdpc 232 Merrick Rd Lynbrook NY 11563-2623 Ph: (516) 594-5961 |
| NPI Number | 1689816902 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 06/16/2023 |
| Medicare PECOS PAC ID | 7012189566 |
|---|---|
| Medicare Enrollment ID | O20111006000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689816902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 204874 (New York) | Primary |
| Provider Name | Venkatesh Nori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649243585 PECOS PAC ID: 1254327927 Enrollment ID: I20040420001887 |
| Provider Name | Ahmed M Elkoulily |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346225927 PECOS PAC ID: 0244212520 Enrollment ID: I20040601001453 |
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