| Big Apple Primary Medical Care Pc | |
|
1336 127th St Flushing NY 11356-1939 | |
| (646) 770-1267 | |
| Not Available |
| Full Name | Big Apple Primary Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1336 127th St, Flushing, New York |
| Authorized Official Name and Position | Ibrahim Mansour (PRESIDENT) |
| Authorized Official Contact | 6467701267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Apple Primary Medical Care Pc 1336 127th St Flushing NY 11356-1939 Ph: (646) 770-1267 | Big Apple Primary Medical Care Pc 1336 127th St Flushing NY 11356-1939 Ph: (646) 770-1267 |
| NPI Number | 1215684543 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/31/2023 |
| Medicare PECOS PAC ID | 4981091998 |
|---|---|
| Medicare Enrollment ID | O20220421001380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215684543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Khaled Omar Elbanna |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790733210 PECOS PAC ID: 9931191202 Enrollment ID: I20040330001007 |
| Provider Name | Firas Alawawdeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174012991 PECOS PAC ID: 9234474503 Enrollment ID: I20210823000970 |
| Provider Name | Ibrahim Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578807590 PECOS PAC ID: 4082834841 Enrollment ID: I20210915003340 |
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