Alam Medical, Pc | |
1755 Deer Park Ave Deer Park NY 11729-5207 | |
(917) 280-7656 | |
Not Available |
Full Name | Alam Medical, Pc |
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Speciality | Clinic/Center |
Location | 1755 Deer Park Ave, Deer Park, New York |
Authorized Official Name and Position | Rehana Alam (PRESIDENT) |
Authorized Official Contact | 9172807656 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alam Medical, Pc 10 Empire Ct Dix Hills NY 11746-6704 Ph: (917) 280-7656 | Alam Medical, Pc 1755 Deer Park Ave Deer Park NY 11729-5207 Ph: (917) 280-7656 |
NPI Number | 1528877214 |
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Provider Enumeration Date | 01/06/2025 |
Last Update Date | 01/06/2025 |
Medicare PECOS PAC ID | 4385174648 |
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Medicare Enrollment ID | O20250217000578 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528877214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Rehana R Alam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508295189 PECOS PAC ID: 8224356738 Enrollment ID: I20250128002977 |
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