| Dr Philip R.baldeo Medical Services,pc | |
|
12507 Liberty Ave South Richmond Hill Queens NY 11419-2233 | |
| (718) 845-8900 | |
| (866) 372-8750 |
| Full Name | Dr Philip R.baldeo Medical Services,pc |
|---|---|
| Speciality | Family Medicine |
| Location | 12507 Liberty Ave, Queens, New York |
| Authorized Official Name and Position | Philip R Baldeo (DIRECTOR) |
| Authorized Official Contact | 7188458900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philip R.baldeo Medical Services,pc 125-07 Liberty Ave South Richmond Hill Queens NY 11419 Ph: (718) 845-8900 | Dr Philip R.baldeo Medical Services,pc 12507 Liberty Ave South Richmond Hill Queens NY 11419-2233 Ph: (718) 845-8900 |
| NPI Number | 1427337393 |
|---|---|
| Provider Enumeration Date | 08/10/2011 |
| Last Update Date | 03/27/2017 |
| Medicare PECOS PAC ID | 6103098397 |
|---|---|
| Medicare Enrollment ID | O20111012000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427337393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Philip R Baldeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003992033 PECOS PAC ID: 1456523646 Enrollment ID: I20111012000427 |
| Provider Name | Josephine Guerrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306067137 PECOS PAC ID: 9638302433 Enrollment ID: I20140501001374 |
| Provider Name | Julie a Pike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497124382 PECOS PAC ID: 0042520553 Enrollment ID: I20151113000492 |
| Provider Name | Liza Brown-joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942687611 PECOS PAC ID: 6305143173 Enrollment ID: I20160322000608 |
| Provider Name | Ann-marie E Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396297354 PECOS PAC ID: 0042589624 Enrollment ID: I20170713001803 |
| Provider Name | Ryanna Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285112441 PECOS PAC ID: 3274878301 Enrollment ID: I20181218003386 |
| Provider Name | Valmir Camaj |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538734108 PECOS PAC ID: 7810396629 Enrollment ID: I20210527002615 |
| Provider Name | Victoria Ojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153668 PECOS PAC ID: 0941684195 Enrollment ID: I20220907002109 |
| Provider Name | Jasmine Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639767445 PECOS PAC ID: 6002225604 Enrollment ID: I20221007000230 |
| Provider Name | Sandra Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184081366 PECOS PAC ID: 7315313681 Enrollment ID: I20221012001807 |
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