| Equinox Health Medical Pc | |
|
128 Beach 115th St Rockaway Park NY 11694-2408 | |
| (717) 716-7107 | |
| Not Available |
| Full Name | Equinox Health Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 128 Beach 115th St, Rockaway Park, New York |
| Authorized Official Name and Position | Nabeel Babar (ADMINISTRATOR) |
| Authorized Official Contact | 6466872838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equinox Health Medical Pc 221 Sea Breeze Ave Apt Ph2b Brooklyn NY 11224-3454 Ph: () - | Equinox Health Medical Pc 128 Beach 115th St Rockaway Park NY 11694-2408 Ph: (717) 716-7107 |
| NPI Number | 1851194823 |
|---|---|
| Provider Enumeration Date | 03/27/2025 |
| Last Update Date | 04/02/2025 |
| Medicare PECOS PAC ID | 0749706760 |
|---|---|
| Medicare Enrollment ID | O20250502000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851194823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark Ilyagu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073994711 PECOS PAC ID: 8820340151 Enrollment ID: I20181015000980 |
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