| Atm Yousuf Physician Pc | |
|
862 Westbury Rd Westbury NY 11590-5844 | |
| (718) 777-1112 | |
| Not Available |
| Full Name | Atm Yousuf Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 862 Westbury Rd, Westbury, New York |
| Authorized Official Name and Position | Atm Yousuf (PRESIDENT) |
| Authorized Official Contact | 7187771112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atm Yousuf Physician Pc 862 Westbury Rd Westbury NY 11590-5844 Ph: (718) 777-1112 | Atm Yousuf Physician Pc 862 Westbury Rd Westbury NY 11590-5844 Ph: (718) 777-1112 |
| NPI Number | 1992829824 |
|---|---|
| Provider Enumeration Date | 03/17/2007 |
| Last Update Date | 05/26/2011 |
| Medicare PECOS PAC ID | 3678537578 |
|---|---|
| Medicare Enrollment ID | O20050106000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992829824 | NPI | - | NPPES |
| DE1283 | Other | NY | RR MEDICARE GROUP# |
| 04075 | Other | NY | MEDICARE GHI |
| P00273382 | Other | NY | RR MEDICARE |
| 01916150 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 212144 (New York) | Primary |
| Provider Name | Atm Yousuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982701512 PECOS PAC ID: 0042275117 Enrollment ID: I20041130001003 |
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